Provider Demographics
NPI:1407327513
Name:TRANSMEDI, LLC
Entity Type:Organization
Organization Name:TRANSMEDI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAE
Authorized Official - Middle Name:
Authorized Official - Last Name:IM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-747-2777
Mailing Address - Street 1:15253 10TH AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1241
Mailing Address - Country:US
Mailing Address - Phone:718-747-2777
Mailing Address - Fax:
Practice Address - Street 1:15253 10TH AVE STE 217
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1241
Practice Address - Country:US
Practice Address - Phone:718-747-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04988703Medicaid