Marina Ambulette Services, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B90604 Issued in NY

Legal business name

MARINA AMBULETTE SERVICES, INC.

Practice address

2589 Coney Island Ave FL 2
Brooklyn, NY 11223-5536

Phone

(718) 934-8844

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boris Loupolover

Title

Administrator

Phone

(718) 934-8844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659599017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235536",
            "telephone_number": "718-934-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235536",
            "telephone_number": "718-934-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA AMBULETTE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOUPOLOVER",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-934-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.