Individual provider Active NPI

Aviventz Ganthier

  • Driver
  • Spring Valley, NY
National Provider Identifier
1891113742
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
914157874 Issued in NY
Practice address
13 Harvey CT
Spring Valley, NY 10977-3004
Phone
(845) 300-4193
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 914157874 NY Primary

Addresses

Primary practice location

13 Harvey CT
Spring Valley, NY 10977-3004

Mailing address

13 Harvey CT
Spring Valley, NY 10977-3004
Phone (845) 300-4193

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
914157874NYMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1891113742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HARVEY CT",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773004",
            "telephone_number": "845-300-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HARVEY CT",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773004",
            "telephone_number": "845-300-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTHIER",
        "first_name": "AVIVENTZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NY",
            "license": "914157874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.