Suburban Transportation, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SUBURBAN TRANSPORTATION, INC.

Practice address

6327 E Molloy Rd
East Syracuse, NY 13057-1023

Phone

(315) 437-0058

Fax

(315) 437-5267

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael F. Ilacqua

Title

President

Phone

(315) 437-0058

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1396941407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571023",
            "telephone_number": "315-437-0058",
            "fax_number": "315-437-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 E MOLLOY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571023",
            "telephone_number": "315-437-0058",
            "fax_number": "315-437-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "ILACQUA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-437-0058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261870",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NEW YORK",
            "identifier": "091110000109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci L Stoffel, DPT
• Petra Stone, LCSW-R
• Juli-Anne Stratton, M.S., CCC-SLP
• Teri Strine, NP
• Suburban Taxi, Inc.
• Amanda Sugrue, RPH
• Lily Sullivan, DPT
• Madeline C Sullivan
• Matthew Patrick Sullivan, MD
• Mike H Sun, MD

• Non-emergency Medical Transport (VAN) in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.