Organization Active NPI

Advanced Care Ambulette Inc

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1790854628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
00B90573 Issued in NY
Legal business name
ADVANCED CARE AMBULETTE INC
Practice address
73 Bay 14TH St
Brooklyn, NY 11214-3603
Phone
(718) 743-2100
Fax
(718) 743-4344
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Igor Urovish
Title
Secretary
Phone
(718) 743-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 00B90573 NY Primary

Addresses

Primary practice location

73 Bay 14TH St
Brooklyn, NY 11214-3603

Mailing address

73 Bay 14TH St
Brooklyn, NY 11214-3603
Phone (718) 743-2100

Other identifiers 1

IdentifierTypeStateIssuer
02385986MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790854628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143603",
            "telephone_number": "718-743-2100",
            "fax_number": "718-743-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143603",
            "telephone_number": "718-743-2100",
            "fax_number": "718-743-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE AMBULETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UROVISH",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-743-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "00B90573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02385986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.