Organization Active NPI

Avery'S Taxi LLC

  • Non-emergency Medical Transport (VAN)
  • Malta, NY
National Provider Identifier
1205372133
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AVERY'S TAXI LLC
Practice address
85 Wineberry LN
Malta, NY 12020-4719
Phone
(518) 321-6195
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Christopher B Avery
Title
Owner
Phone
(518) 860-2151

Specialties & licenses 1

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

Addresses

Primary practice location

85 Wineberry LN
Malta, NY 12020-4719

Mailing address

85 Wineberry LN
Malta, NY 12020-4719
Phone (518) 321-6195

Other identifiers 1

IdentifierTypeStateIssuer
03316947MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1205372133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WINEBERRY LN",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204719",
            "telephone_number": "518-321-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WINEBERRY LN",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204719",
            "telephone_number": "518-321-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY'S TAXI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-860-2151"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03316947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.