Organization Active NPI

Rivertown Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Newburgh, NY
National Provider Identifier
1174076798
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
00075-16 Issued in NY
Legal business name
RIVERTOWN TRANSPORTATION LLC
Practice address
51 Williamsburg Dr
Newburgh, NY 12550-3260
Phone
(845) 563-0150
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Mr. Rodney S Tillman
Title
Director of Operations
Phone
(845) 563-0150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 00075-16 NY Primary
Taxi 344600000X 00075-16 NY

Addresses

Primary practice location

51 Williamsburg Dr
Newburgh, NY 12550-3260

Mailing address

51 Williamsburg Dr
Newburgh, NY 12550-3260
Phone (845) 563-0150

Other identifiers 1

IdentifierTypeStateIssuer
04299469MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1174076798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WILLIAMSBURG DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503260",
            "telephone_number": "845-563-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILLIAMSBURG DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503260",
            "telephone_number": "845-563-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "845-563-0150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "00075-16",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "00075-16",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04299469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.