Expeditrans LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B90724 Issued in NY

Legal business name

EXPEDITRANS LLC

Practice address

863 Cypress Ave
Ridgewood, NY 11385-4724

Phone

(917) 304-8015

Fax

(212) 202-6384

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Sonny Pham

Title

President

Phone

(917) 304-8015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1801343462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160-30 78 AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "917-304-8015",
            "fax_number": "212-202-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 CYPRESS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854724",
            "telephone_number": "917-304-8015",
            "fax_number": "212-202-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPEDITRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-304-8015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.