Suburban Taxi, Inc.

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

SUBURBAN TAXI, INC.

Practice address

6327 E Molloy Rd
East Syracuse, NY 13057-1023

Phone

(315) 431-8020

Fax

(315) 431-8021

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark J Ilacqua

Title

President

Phone

(315) 431-8020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1053867069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571023",
            "telephone_number": "315-431-8020",
            "fax_number": "315-431-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571023",
            "telephone_number": "315-431-8020",
            "fax_number": "315-431-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN TAXI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "ILACQUA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-431-8020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03561066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Stoeckel, MD
• Staci L Stoffel, DPT
• Petra Stone, LCSW-R
• Juli-Anne Stratton, M.S., CCC-SLP
• Teri Strine, NP
• Suburban Transportation, Inc.
• Amanda Sugrue, RPH
• Lily Sullivan, DPT
• Madeline C Sullivan
• Matthew Patrick Sullivan, MD

• Taxi in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Taxi in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.