Organization Active NPI

Superior Way Inc

  • Non-emergency Medical Transport (VAN)
  • Depew, NY
National Provider Identifier
1124536644
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
04554032 Issued in NY
Legal business name
SUPERIOR WAY INC
Practice address
375 Dick Rd
Depew, NY 14043-1816
Phone
(716) 391-1925
Fax
(716) 391-1924
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Mr. Anatoly Shvartsberg
Title
President
Phone
(716) 706-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 04554032 NY Primary

Addresses

Primary practice location

375 Dick Rd
Depew, NY 14043-1816

Mailing address

375 Dick Rd
Depew, NY 14043-1816
Phone (716) 391-1925

Other identifiers 1

IdentifierTypeStateIssuer
04554032MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1124536644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 DICK RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431816",
            "telephone_number": "716-391-1925",
            "fax_number": "716-391-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DICK RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431816",
            "telephone_number": "716-391-1925",
            "fax_number": "716-391-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR WAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "SHVARTSBERG",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-706-8133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "04554032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04554032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.