Gem Logistics Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

GEM LOGISTICS INC

Practice address

4 Scandinavia Ave
Worcester, MA 01603-1641

Phone

(508) 762-2611

Fax

(508) 796-5736

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Myles Asensoh

Title

President

Phone

(508) 762-2611

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1154956092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCANDINAVIA AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031641",
            "telephone_number": "508-762-2611",
            "fax_number": "508-796-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SCANDINAVIA AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031641",
            "telephone_number": "508-762-2611",
            "fax_number": "508-796-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM LOGISTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ASENSOH",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-762-2611"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110159111A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110159111",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmx.com",
            "affiliation": "N",
            "address_1": "4 Scandinavia Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016031641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Gelinas
• Zhuoqing Suzy Gellatly, MS
• Hallie Geller, MD
• Jeffrey L. Geller, M.D.
• Jill Geller
• Meagan Gemborys, MSW, LICSW
• Sabrina Elizabeth Gemme, AU.D.
• Desiree Genard
• Jennifer Gendron
• Cara Elizabeth Genduso, MD

• Transportation Broker in Worcester, MA
• Providers in Worcester, MA by specialty
• Transportation Broker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.