Active NPI
Abaco Inc
- Non-emergency Medical Transport (VAN)
- Forest Hills, NY
National Provider Identifier
1639614134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 30693
- Legal business name
- ABACO INC
- Practice address
- 7318 Yellowstone Blvd
Apt D Basement
Forest Hills, NY 11375-4198 - Phone
- (718) 312-0375
- Fax
- (888) 909-7594
- NPI assigned
- Dec 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zafar Isamitdinov
- Title
- President
- Phone
- (718) 312-0375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 30693 | NY | Primary |
Addresses
Primary practice location
7318 Yellowstone Blvd
Apt D Basement
Forest Hills, NY 11375-4198
Mailing address
7318 Yellowstone Blvd
Apt D Basement
Forest Hills, NY 11375-4198
Phone (718) 312-0375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04566010 | Medicaid | NY |
Other names 1
- ABACO TRANSPORTATION
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482969600000",
"number": "1639614134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7318 YELLOWSTONE BLVD",
"address_2": "APT D BASEMENT",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754198",
"telephone_number": "718-312-0375",
"fax_number": "888-909-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7318 YELLOWSTONE BLVD",
"address_2": "APT D BASEMENT",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754198",
"telephone_number": "718-312-0375",
"fax_number": "888-909-7594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABACO INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-29",
"status": "A",
"authorized_official_last_name": "ISAMITDINOV",
"authorized_official_first_name": "ZAFAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-312-0375",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "30693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04566010",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABACO TRANSPORTATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.