Healthcare Provider Details

I. General information

NPI: 1770452310
Provider Name (Legal Business Name): CALYPSO CAR SERVICE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 BERGEN ST APT 1
BROOKLYN NY
11217-4041
US

IV. Provider business mailing address

1433 E 104TH ST
BROOKLYN NY
11236-4515
US

V. Phone/Fax

Practice location:
  • Phone: 347-796-2588
  • Fax: 347-778-5933
Mailing address:
  • Phone: 347-796-2577
  • Fax: 347-778-5933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL
# 6
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADISSA AHC ADJADO
Title or Position: OWNER
Credential: TRANSPORTAT PROVIDER
Phone: 347-796-2577