Ally Car Service LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

B02756 Issued in NY

Legal business name

ALLY CAR SERVICE LLC

Practice address

783 McDonald Ave
Brooklyn, NY 11218-5605

Phone

(718) 435-7777

Fax

(347) 342-3003

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Vladimir Podrabinok

Title

President

Phone

(718) 435-7777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1982083192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185605",
            "telephone_number": "718-435-7777",
            "fax_number": "347-342-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185605",
            "telephone_number": "718-435-7777",
            "fax_number": "347-342-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY CAR SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "PODRABINOK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-435-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "B02756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04059894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.