Organization Active NPI

Virgo Ambulette Inc

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1982856845
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
30801 Issued in NY
Legal business name
VIRGO AMBULETTE INC
Practice address
13 Kalmia LN Valley Sream Ny 11581
4222 Ave I
Brooklyn, NY 11581
Phone
(718) 677-0317
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Joseph Alix Portes
Title
President
Phone
(718) 677-0317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 30801 NY Primary

Addresses

Primary practice location

13 Kalmia LN Valley Sream Ny 11581
4222 Ave I
Brooklyn, NY 11581

Mailing address

13 Kalmia LN
Valley Stream, NY 11581-2325

Other identifiers 1

IdentifierTypeStateIssuer
01089385MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1982856845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 KALMIA LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KALMIA LN VALLEY SREAM NY 11581",
            "address_2": "4222 AVE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "718-677-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGO AMBULETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PORTES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-677-0317"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "30801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01089385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.