Organization Active NPI

Alta Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Rego Park, NY
National Provider Identifier
1700183472
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
30718 Issued in NY
Legal business name
ALTA MEDICAL TRANSPORTATION INC
Practice address
8502 67TH Ave
Suite 1
Rego Park, NY 11374-5214
Phone
(718) 897-2582
NPI assigned
Feb 16, 2011
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Alena Karatkevich
Title
President
Phone
(718) 897-2582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 30718 NY Primary

Addresses

Primary practice location

8502 67TH Ave
Suite 1
Rego Park, NY 11374-5214

Mailing address

8502 67TH Ave
Suite 1
Rego Park, NY 11374-5214
Phone (718) 897-2582

Other identifiers 1

IdentifierTypeStateIssuer
03298088MedicaidNY

National Provider Directory

National Provider Directory

Locations

8502 67th Ave
#1
Rego Park, NY 11374
Phone (347) 468-7340

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1700183472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 67TH AVE",
            "address_2": "SUITE 1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745214",
            "telephone_number": "718-897-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 67TH AVE",
            "address_2": "SUITE 1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745214",
            "telephone_number": "718-897-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "KARATKEVICH",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-897-2582"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "30718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03298088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.