Individual provider Active NPI

Renat Naymanov

  • Taxi
  • Long Island City, NY
National Provider Identifier
1821697368
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
824237620 Issued in NY
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

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
824237620NYMDTaxi

Practice roles

OrganizationSpecialtyStatusNew patients
CCM Ny LLC Taxi CurrentSince Dec 29, 2024 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.

Verify at the official NPI Registry.