Organization Active NPI

ABA Transport Corp.

  • Non-emergency Medical Transport (VAN)
  • East Elmhurst, NY
National Provider Identifier
1770771545
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
DOT#30718 Issued in NY
Legal business name
ABA TRANSPORT CORP.
Practice address
8303 24TH Ave
2 Floor
East Elmhurst, NY 11370-1660
Phone
(718) 505-3100
Fax
(718) 424-8181
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mr. Vadim Krizhevsky
Title
President
Phone
(646) 436-1400

Specialties & licenses 1

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

Addresses

Primary practice location

8303 24TH Ave
2 Floor
East Elmhurst, NY 11370-1660

Mailing address

8303 24TH Ave
2 Floor
East Elmhurst, NY 11370-1660
Phone (718) 505-3100

Other identifiers 1

IdentifierTypeStateIssuer
02903675MedicaidNY

National Provider Directory

National Provider Directory

Locations

8303 24th Ave
#2
East Elmhurst, NY 11370
Phone (718) 505-3100

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1770771545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 24TH AVE",
            "address_2": "2 FLOOR",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701660",
            "telephone_number": "718-505-3100",
            "fax_number": "718-424-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 24TH AVE",
            "address_2": "2 FLOOR",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701660",
            "telephone_number": "718-505-3100",
            "fax_number": "718-424-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA TRANSPORT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "KRIZHEVSKY",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-436-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "DOT#30718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02903675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.