Organization Active NPI

Delux Car Service

Doing business as Palm tree car service

  • Non-emergency Medical Transport (VAN)
  • Monroe, NY
National Provider Identifier
1720563190
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DELUX CAR SERVICE
Doing business as
Palm tree car service
Practice address
16 Lake St
Monroe, NY 10950-3548
Phone
(845) 863-3322
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Mr. Irakli Kokrashvili
Title
Owner
Phone
(908) 240-4099

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Taxi 344600000X
Private Vehicle 347C00000X
Transportation Broker 347E00000X

Addresses

Primary practice location

16 Lake St
Monroe, NY 10950-3548

Mailing address

16 Lake St
Monroe, NY 10950-3548

Other names 1

  • Palm tree car service 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": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1720563190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503548",
            "telephone_number": "845-863-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUX CAR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "KOKRASHVILI",
        "authorized_official_first_name": "IRAKLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-240-4099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm tree car service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.