Organization Active NPI

Allmedical Service, Inc.

  • Non-emergency Medical Transport (VAN)
  • Staten Island, NY
National Provider Identifier
1720061245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
DOT# 35638 Issued in NY
Legal business name
ALLMEDICAL SERVICE, INC.
Practice address
564 Midland Ave
Staten Island, NY 10306-5828
Phone
(718) 351-5356
Fax
(718) 351-3397
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Oleg Gorokhovskiy
Title
V.P.
Phone
(718) 772-7205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X DOT# 35638 NY Primary

Addresses

Primary practice location

564 Midland Ave
Staten Island, NY 10306-5828

Mailing address

564 Midland Ave
Staten Island, NY 10306-5828
Phone (718) 351-5356

Other identifiers 1

IdentifierTypeStateIssuer
02754314MedicaidNY

Other names 1

  • ALLMEDICAL TRANSPORTATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allmedical Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720061245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065828",
            "telephone_number": "718-351-5356",
            "fax_number": "718-351-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065828",
            "telephone_number": "718-351-5356",
            "fax_number": "718-351-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLMEDICAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOROKHOVSKIY",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "718-772-7205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "DOT# 35638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02754314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLMEDICAL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.