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MOONLIGHT AMBULETTE SERVICES INC NPI 1114143070


NPI Information

NPI: 1114143070
Provider Name: MOONLIGHT AMBULETTE SERVICES INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1612 NEPTUNE AVE FL 3
BROOKLYN, NY
ZIP 11224
Phone: (718) 996-4500
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MOONLIGHT AMBULETTE SERVICES INC is a non emergency medical transport van in Brooklyn, NY. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MOONLIGHT AMBULETTE SERVICES INC NPI is 1114143070. The provider is registered as an organization entity type.

The provider's business location address is:

1612 NEPTUNE AVE FL 3
BROOKLYN, NY
ZIP 11224-718
Phone: (718) 996-4500
Fax: (718) 996-1143

The provider's authorized official is Anatoly Rosenthal .
The authorized official title is President and has the following contact phone number (718) 996-4500.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)B90030NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101884555MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.