Active NPI
Tageldin Banaga
- Driver
- Bridgeport, CT
National Provider Identifier
1689157471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 017671860
- Practice address
- 1333 E Main St Apt 5
Bridgeport, CT 06608-1400 - Phone
- (203) 543-3819
- NPI assigned
- Sep 8, 2018
- Last updated
- Sep 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 017671860 | CT | Primary |
Addresses
Primary practice location
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Mailing address
1333 E Main St Apt 5
Bridgeport, CT 06608-1400
Phone (203) 543-3819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017671860 | CT | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tagco Livery Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Bridgeport, CT
- NPI 1245713924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1689157471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 E MAIN ST APT 5",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066081400",
"telephone_number": "203-543-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 E MAIN ST APT 5",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066081400",
"telephone_number": "203-543-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAGA",
"first_name": "TAGELDIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-08",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CT",
"license": "017671860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.