Organization Active NPI

Prime Care Transportation Inc.

  • Non-emergency Medical Transport (VAN)
  • Buffalo, NY
National Provider Identifier
1356999742
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PRIME CARE TRANSPORTATION INC.
Practice address
3385 Bailey Ave Ste 201
Buffalo, NY 14215-1138
Phone
(716) 986-2539
Fax
(716) 249-3811
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Reverien Mfizi
Title
Coo
Phone
(716) 445-5395

Specialties & licenses 1

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

Addresses

Primary practice location

3385 Bailey Ave Ste 201
Buffalo, NY 14215-1138

Mailing address

130 Hastings Ave
Buffalo, NY 14215-2846
Phone (716) 986-2539

Other identifiers 1

IdentifierTypeStateIssuer
04953691MedicaidNY

National Provider Directory

National Provider Directory

Locations

3385 Bailey Ave
Ste 201
Buffalo, NY 14215
Phone (716) 986-2539

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1356999742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HASTINGS AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152846",
            "telephone_number": "716-986-2539",
            "fax_number": "716-249-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BAILEY AVE STE 201",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151138",
            "telephone_number": "716-986-2539",
            "fax_number": "716-249-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "MFIZI",
        "authorized_official_first_name": "REVERIEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "716-445-5395"
    },
    "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": "04953691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.