NPIMap

Organization Active NPI

Fastrad Florida LLC

  • Physiological Laboratory
  • Brooklyn, NY
National Provider Identifier
1629202031
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
FASTRAD FLORIDA LLC
Practice address
101 N 3Rd St
Brooklyn, NY 11211-3943
Phone
(718) 594-1001
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Wexler
Title
Member
Phone
(718) 594-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

101 N 3Rd St
Brooklyn, NY 11211-3943

Mailing address

101 N 3Rd St
Brooklyn, NY 11211-3943

National Provider Directory

National Provider Directory
Tax ID family
Fastrad Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1629202031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943",
            "telephone_number": "718-594-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAD FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-594-1001"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.