Individual provider Active NPI

Colton Amsell Strycharz

  • Driver
  • Pittstown, NJ
National Provider Identifier
1104597863
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
S83861346110600 Issued in NJ
Practice address
4 Asher Smith Rd Apt 1
Pittstown, NJ 08867-4257
Phone
(908) 797-9779
Fax
(908) 348-6482
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X S83861346110600 NJ Primary

Addresses

Primary practice location

4 Asher Smith Rd Apt 1
Pittstown, NJ 08867-4257

Mailing address

PO Box 541
Pittstown, NJ 08867-0541
Phone (908) 797-9779

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL goingplacestransportation21@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S83861346110600NJMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Going Places Transportation Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1104597863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088670541",
            "telephone_number": "908-797-9779",
            "fax_number": "908-348-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ASHER SMITH RD APT 1",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088674257",
            "telephone_number": "908-797-9779",
            "fax_number": "908-348-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYCHARZ",
        "first_name": "COLTON",
        "middle_name": "AMSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NJ",
            "license": "S83861346110600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goingplacestransportation21@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Asher Smith Rd Apt 1",
            "city": "Pittstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088674257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.