Organization Active NPI

NJM, Inc Dba Mid Island Car Service

  • Taxi
  • Staten Island, NY
National Provider Identifier
1710190566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B00972 Issued in NY
Legal business name
NJM, INC DBA MID ISLAND CAR SERVICE
Practice address
566 Industrial Loop
Staten Island, NY 10309-1121
Phone
(718) 967-7754
Fax
(718) 967-3303
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elaine Grover
Title
President
Phone
(718) 967-7754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X B00972 NY Primary

Addresses

Primary practice location

566 Industrial Loop
Staten Island, NY 10309-1121

Mailing address

566 Industrial Loop
Staten Island, NY 10309-1121
Phone (718) 967-7754

Other identifiers 1

IdentifierTypeStateIssuer
01508245MedicaidNY

National Provider Directory

National Provider Directory

Locations

566 Industrial Loop
Staten Island, NY 10309
Phone (718) 967-7754

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710190566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 INDUSTRIAL LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091121",
            "telephone_number": "718-967-7754",
            "fax_number": "718-967-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 INDUSTRIAL LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091121",
            "telephone_number": "718-967-7754",
            "fax_number": "718-967-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJM, INC DBA MID ISLAND CAR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-967-7754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B00972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01508245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • 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.