Organization Active NPI

Senior Ride Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Bronx, NY
National Provider Identifier
1053643353
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B90681 Issued in NY
Legal business name
SENIOR RIDE TRANSPORTATION, LLC
Practice address
855 Brush Ave
Bronx, NY 10465-1808
Phone
(718) 430-9700
Fax
(718) 430-1528
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mr. Michael S Vatch, MPA,CCEMTP
Title
Ceo
Phone
(718) 430-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B90681 NY Primary

Addresses

Primary practice location

855 Brush Ave
Bronx, NY 10465-1808

Mailing address

855 Brush Ave
Bronx, NY 10465-1808
Phone (718) 430-9700

Other identifiers 1

IdentifierTypeStateIssuer
03176249MedicaidNY

National Provider Directory

National Provider Directory

Locations

855 Brush Ave
Bronx, NY 10465
Phone (718) 430-9700

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1053643353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 BRUSH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651808",
            "telephone_number": "718-430-9700",
            "fax_number": "718-430-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BRUSH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651808",
            "telephone_number": "718-430-9700",
            "fax_number": "718-430-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RIDE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "VATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-430-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA,CCEMTP"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03176249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.