Cny Quality Transport,LLC

Primary specialty

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

Legal business name

CNY QUALITY TRANSPORT,LLC

Practice address

124 Northern Lights Dr
North Syracuse, NY 13212-4113

Phone

(315) 928-6856

NPI assigned

Mar 31, 2019

Last updated

Mar 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Thomas Moore

Title

Owner

Phone

(315) 928-6856

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553990400000",
    "number": "1407317431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NORTHERN LIGHTS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124113",
            "telephone_number": "315-928-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NORTHERN LIGHTS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124113",
            "telephone_number": "315-928-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY QUALITY TRANSPORT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-928-6856"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04949684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cavallaro, FNP-C
• Kathleen Clark
• Nicole Elizabeth Clark, LMSW
• Elizabeth C Close, LMHC-D
• Cny Marriage & Family Therapy Place
• Cny Shine Physical Occupational and Speech Therapy PLLC (Shine Pediatric Therapy)
• Debra A Cole X, LMT
• Melissa Compton
• Emily Cornell
• Heather Cullen

• Non-emergency Medical Transport (VAN) in North Syracuse, NY
• Providers in North 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 Mar 31, 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.