Organization Active NPI

Sky Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Newington, CT
National Provider Identifier
1104383900
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SKY TRANSPORTATION LLC
Practice address
705 N Mountain Rd Ste E103
Newington, CT 06111-1426
Phone
(917) 518-8726
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Roman Genov
Title
Owner
Phone
(917) 518-8726

Specialties & licenses 1

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

Addresses

Primary practice location

705 N Mountain Rd Ste E103
Newington, CT 06111-1426

Mailing address

705 N Mountain Rd Ste E103
Newington, CT 06111-1426
Phone (917) 518-8726

Other identifiers 1

IdentifierTypeStateIssuer
MCD008045652MedicaidCT

National Provider Directory

National Provider Directory

Locations

705 N Mountain Rd
Ste E103
Newington, CT 06111
Phone (917) 518-8726

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1104383900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MOUNTAIN RD STE E103",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111426",
            "telephone_number": "917-518-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N MOUNTAIN RD STE E103",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111426",
            "telephone_number": "917-518-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "GENOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-518-8726"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MCD008045652",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.