NPIMap

Organization Active NPI

Lucky Ambulette Services

  • Non-emergency Medical Transport (VAN)
  • Nesconset, NY
National Provider Identifier
1679019541
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
39758 Issued in NY
Legal business name
LUCKY AMBULETTE SERVICES
Practice address
205 Gibbs Pond Rd
Nesconset, NY 11767-2265
Phone
(631) 432-9691
Fax
(631) 257-5866
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Lucko JeanNPI 1467950162
Title
President
Phone
(631) 741-1895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 39758 NY Primary

Addresses

Primary practice location

205 Gibbs Pond Rd
Nesconset, NY 11767-2265

Mailing address

205 Gibbs Pond Rd
Nesconset, NY 11767-2265
Phone (631) 432-9691

Other identifiers 1

IdentifierTypeStateIssuer
04582707MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1679019541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GIBBS POND RD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672265",
            "telephone_number": "631-432-9691",
            "fax_number": "631-257-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GIBBS POND RD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672265",
            "telephone_number": "631-432-9691",
            "fax_number": "631-257-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY AMBULETTE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "LUCKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-741-1895"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "39758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04582707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.