Individual provider Active NPI

Mario Jones

  • Transportation Broker
  • Albany, NY
National Provider Identifier
1154719292
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
296704 Issued in NY
Practice address
350 S Manning Blvd
Albany, NY 12208-1733
Phone
(518) 221-6439
NPI assigned
Dec 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 296704 NY
Nursing Care Agency 251J00000X 296704 NY
Health Maintenance Organization 302R00000X 296704 NY
Home Delivered Meals 332U00000X 296704 NY
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X 296704 NY Primary

Addresses

Primary practice location

350 S Manning Blvd
Albany, NY 12208-1733

Mailing address

350 S Manning Blvd
Albany, NY 12208-1733
Phone (518) 221-6439

Other practice location 1

90 3rd St
Apt 5
Troy, NY 12180-3950
Phone (518) 379-7569

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
296704NYMDHome Delivered Meals

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1154719292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081733",
            "telephone_number": "518-221-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081733",
            "telephone_number": "518-221-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 3rd St",
            "address_2": "Apt 5",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121803950",
            "country_code": "US",
            "telephone_number": "518-379-7569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "296704",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "296704",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "296704",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NY",
            "license": "296704",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NY",
            "license": "296704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.