Organization Active NPI

Pioneer Logistics Inc.

  • Non-emergency Medical Transport (VAN)
  • Clarence Center, NY
National Provider Identifier
1407269749
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PIONEER LOGISTICS INC.
Practice address
5585 Marthas Vineyard Road
Clarence Center, NY 14032
Phone
(585) 900-1000
Fax
(716) 875-5652
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Mr. Igor Yuzbashev
Title
Owner/President
Phone
(716) 444-2120

Specialties & licenses 1

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

Addresses

Primary practice location

5585 Marthas Vineyard Road
Clarence Center, NY 14032

Mailing address

5585 Marthas Vineyard Road
Clarence Center, NY 14032
Phone (585) 900-1000

Other identifiers 1

IdentifierTypeStateIssuer
03772938MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1407269749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 MARTHAS VINEYARD ROAD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "14032",
            "telephone_number": "585-900-1000",
            "fax_number": "716-875-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 MARTHAS VINEYARD ROAD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "14032",
            "telephone_number": "585-900-1000",
            "fax_number": "716-875-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER LOGISTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "YUZBASHEV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "716-444-2120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03772938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.