Blue Mountain Transit LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

BLUE MOUNTAIN TRANSIT LLC

Practice address

1078 W Boylston St Ste 204
Worcester, MA 01606-1167

Phone

(516) 476-7713

NPI assigned

Jul 2, 2026

Last updated

Jul 2, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUE MOUNTAIN TRANSIT LLCAs reported in NPPES

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

Authorized official

Name

Jermaine Elvin

Title

Co-Owner

Phone

(516) 476-7713

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1093632754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 W BOYLSTON ST STE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061167",
            "telephone_number": "516-476-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W BOYLSTON ST STE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061167",
            "telephone_number": "516-476-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN TRANSIT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE MOUNTAIN TRANSIT LLC",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "ELVIN",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-476-7713"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Worcester, MA
• Providers in Worcester, MA by specialty
• Driver in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.