Active NPI
Elegante Services Inc.
- Non-emergency Medical Transport (VAN)
- Bronx, NY
National Provider Identifier
1902276090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- B90713
- Legal business name
- ELEGANTE SERVICES INC.
- Practice address
- 1804 Randall Ave
Bronx, NY 10473-3618 - Phone
- (718) 492-7680
- Fax
- (347) 507-5540
- NPI assigned
- Oct 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Pratts
- Title
- Ceo
- Phone
- (718) 492-7680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | B90713 | NY | Primary |
Addresses
Primary practice location
1804 Randall Ave
Bronx, NY 10473-3618
Mailing address
1804 Randall Ave
Bronx, NY 10473-3618
Phone (718) 492-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03720330 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1804 Randall Ave
Bronx, NY 10473
Phone (718) 492-7680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443657600000",
"number": "1902276090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 RANDALL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104733618",
"telephone_number": "718-492-7680",
"fax_number": "347-507-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 RANDALL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104733618",
"telephone_number": "718-492-7680",
"fax_number": "347-507-5540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEGANTE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A",
"authorized_official_last_name": "PRATTS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-492-7680"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "B90713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03720330",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.