Organization Active NPI

Blacklion Protective & Risk Management Services Inc.

Doing business as Blacklion Protecrive & Risk Management Services Inc.

  • Non-emergency Medical Transport (VAN)
  • Corona, NY
National Provider Identifier
1679184170
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLACKLION PROTECTIVE & RISK MANAGEMENT SERVICES INC.
Doing business as
Blacklion Protecrive & Risk Management Services Inc.
Practice address
9730 57TH Ave Apt 6E
Corona, NY 11368-3689
Phone
(914) 770-2126
NPI assigned
Aug 10, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dove E Momodu
Title
President/Ceo
Phone
(914) 770-2126

Specialties & licenses 1

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

Addresses

Primary practice location

9730 57TH Ave Apt 6E
Corona, NY 11368-3689

Mailing address

9730 57TH Ave Apt 6E
Corona, NY 11368-3689
Phone (914) 770-2126

Other names 1

  • BLACKLION PROTECRIVE & RISK MANAGEMENT SERVICES INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1679184170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 57TH AVE APT 6E",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683689",
            "telephone_number": "914-770-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 57TH AVE APT 6E",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683689",
            "telephone_number": "914-770-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKLION PROTECTIVE & RISK MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MOMODU",
        "authorized_official_first_name": "DOVE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "914-770-2126"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACKLION PROTECRIVE & RISK MANAGEMENT SERVICES INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.