Augustus Amasha
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Latham, NY
NPI 1043699655 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1043699655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 38057 (NY)
- Practice address
- 952 Troy Schenectady Rd
Suite #: 103
Latham, NY 12110-1612 - Phone
- (518) 250-4664
- Fax
- (518) 250-4665
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38057 | NY | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 38057 | NY | Yes |
Addresses
Primary practice location
952 Troy Schenectady Rd
Suite #: 103
Latham, NY 12110-1612
Mailing address
952 Troy Schenectady Rd
Suite #: 103
Latham, NY 12110-1612
Phone (518) 250-4664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03280926 | Medicaid | NY |
Other providers in Latham, NY
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- Cynthia Almy Federman
- Khalil Rafiq Alshaer
- Stewart Altmayer
- Sarah Elizabeth Aluck
- Anderson Center Services Inc
- Jaime Lyn Anderson
- Andrew Hune DPM, PLLC
- Abigail Andrews
- Kyle Brahim Angelicola-Richardson
All providers in Latham, NY · Non-emergency Medical Transport (VAN) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.