Bardonia Ambulette & Invalid Coach Service,Inc.

Primary specialty

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

Legal business name

BARDONIA AMBULETTE & INVALID COACH SERVICE,INC.

Practice address

1 Furphy LN
Bardonia, NY 10954-1630

Phone

(845) 623-6289

Fax

(845) 215-5478

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Divina A. De Leon

Title

Owner

Phone

(845) 623-6289

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1982808366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FURPHY LN",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541630",
            "telephone_number": "845-623-6289",
            "fax_number": "845-215-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FURPHY LN",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541630",
            "telephone_number": "845-623-6289",
            "fax_number": "845-215-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDONIA AMBULETTE & INVALID COACH SERVICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-623-6289",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01016393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carl Ankrah
• Tabinda Anwar, D.D.S.
• Nora Asamoah
• Bardonia Chiropractic Office, PLLC
• Bardonia Dental PLLC
• Bardonia Drug Inc
• Bardonia Pediatric Assoc
• Bardonia Pharmacy LLC

• All providers in Bardonia, NY
• 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 Jul 11, 2007; 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.