Organization Active NPI

Sea Breeze Car Service

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1649464025
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SEA BREEZE CAR SERVICE
Practice address
3089 Brighton 3 Street
Brooklyn, NY 11235
Phone
(718) 332-5555
Fax
(718) 332-8204
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Miron Smuzhanitsa
Title
President
Phone
(718) 332-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

3089 Brighton 3 Street
Brooklyn, NY 11235

Mailing address

3089 Brighton 3 Street
Brooklyn, NY 11235
Phone (718) 332-5555

Other identifiers 1

IdentifierTypeStateIssuer
01616908MedicaidNY

Other names 1

  • Miron Smuzhanitsa Other name

National Provider Directory

National Provider Directory

Locations

3089 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 332-5555

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1649464025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 BRIGHTON 3 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-5555",
            "fax_number": "718-332-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 BRIGHTON 3 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-5555",
            "fax_number": "718-332-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE CAR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SMUZHANITSA",
        "authorized_official_first_name": "MIRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-5555"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01616908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miron Smuzhanitsa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 29, 2007; 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.