Organization Active NPI

Lepcos Inc

  • Non-emergency Medical Transport (VAN)
  • Avenel, NJ
National Provider Identifier
1972629541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
6968104 Issued in NJ
Legal business name
LEPCOS INC
Practice address
239 Avenel St
Suite 8
Avenel, NJ 07001-1400
Phone
(732) 602-8937
Fax
(732) 602-8991
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Konstantin Boguslavskiy
Title
President
Phone
(732) 602-8937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 6968104 NJ Primary

Addresses

Primary practice location

239 Avenel St
Suite 8
Avenel, NJ 07001-1400

Mailing address

239 Avenel St
Suite 8
Avenel, NJ 07001-1400
Phone (732) 602-8937

Other identifiers 1

IdentifierTypeStateIssuer
6968104MedicaidNJ

National Provider Directory

National Provider Directory

Locations

239 Avenel St
Ste 8
Avenel, NJ 07001
Phone (732) 602-8937

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972629541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVENEL ST",
            "address_2": "SUITE 8",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011400",
            "telephone_number": "732-602-8937",
            "fax_number": "732-602-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVENEL ST",
            "address_2": "SUITE 8",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011400",
            "telephone_number": "732-602-8937",
            "fax_number": "732-602-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEPCOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGUSLAVSKIY",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-602-8937"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "6968104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6968104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.