Taconic Innovations Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TACONIC INNOVATIONS INC

Practice address

25-35 Beechwood Ave
Mount Vernon, NY 10553-1055

Phone

(914) 668-9041

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mathias O Oni-Eseleh Sr.

Title

Ceo

Phone

(845) 840-9179

Specialties & licenses 1

Addresses

Other names 1

• TACONIC INNOVATIONS Other name

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1205537370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25-35 BEECHWOOD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10553",
            "telephone_number": "914-668-9041",
            "fax_number": "914-668-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-35 BEECHWOOD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531055",
            "telephone_number": "914-668-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ONI-ESELEH",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-840-9179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TACONIC INNOVATIONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.