American Eagle Ny Transportation LLC

Primary specialty

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

Legal business name

AMERICAN EAGLE NY TRANSPORTATION LLC

Practice address

556 W Broadway
Port Jefferson, NY 11777-1330

Phone

(631) 542-2727

NPI assigned

May 16, 2022

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed R Abdelnaser

Title

Owner

Phone

(631) 542-2727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1871230391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 W BROADWAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771330",
            "telephone_number": "631-542-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 W BROADWAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771330",
            "telephone_number": "631-542-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EAGLE NY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ABDELNASER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-542-2727"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabab Ali, MD
• Shaheer Ali, M.D.
• Nicole Alston, LMSW
• Regina Alvarez, LPN
• David Amann
• Farhad Mohammad Amjad
• Samantha Amodeo
• Jennifer Ancona
• Anesthesia Care Associates, PLLC
• Joanne F Angstadt, ACNP

• Non-emergency Medical Transport (VAN) in Port Jefferson, NY
• Providers in Port Jefferson, 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 Feb 13, 2024; 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.