Active NPI
Renat Naymanov
- Taxi
- Long Island City, NY
National Provider Identifier
1821697368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 824237620
- Practice address
- 4533 37TH St
Long Island City, NY 11101-1842 - Phone
- (347) 228-5588
- NPI assigned
- Oct 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 824237620 | NY | Primary |
Addresses
Primary practice location
4533 37TH St
Long Island City, NY 11101-1842
Mailing address
2438 E 11TH St Apt 1B
Brooklyn, NY 11235-5082
Phone (347) 228-5588
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | shamil344@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824237620 | NY | MD | Taxi |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCM Ny LLC | Taxi | Current | Accepting new patients |
Locations
4533 37th St
Long Island City, NY 11101
Phone (347) 228-5588
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1821697368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2438 E 11TH ST APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355082",
"telephone_number": "347-228-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4533 37TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011842",
"telephone_number": "347-228-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYMANOV",
"first_name": "RENAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-24",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "824237620",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "shamil344@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4533 37th St",
"city": "Long Island City",
"state": "NY",
"country_code": "US",
"postal_code": "111011842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.