Active NPI
Cerebral Palsy Transport
- Non-emergency Medical Transport (VAN)
- Woodside, NY
National Provider Identifier
1659521672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CEREBRAL PALSY TRANSPORT
- Practice address
- 5140 59TH St
Woodside, NY 11377-7413 - Phone
- (718) 205-0708
- NPI assigned
- Sep 26, 2008
- 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. Thomas Mandelkow
- Title
- Exec Vice President
- Phone
- (212) 947-5770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
5140 59TH St
Woodside, NY 11377-7413
Mailing address
330 W 34TH St FL 15
New York, NY 10001-2406
Phone (212) 947-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00766312 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
5140 59th St
Woodside, NY 11377
Phone (718) 639-2931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1659521672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 34TH ST FL 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012406",
"telephone_number": "212-947-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 59TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113777413",
"telephone_number": "718-205-0708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEREBRAL PALSY TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "MANDELKOW",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "EXEC VICE PRESIDENT",
"authorized_official_telephone_number": "212-947-5770",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00766312",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.