Empire Transportation Provider Inc

Primary specialty

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

Legal business name

EMPIRE TRANSPORTATION PROVIDER INC

Practice address

1330 Niagara Falls Blvd
Tonawanda, NY 14150-8900

Phone

(716) 400-6900

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Abiyu Kebede Aynalem, MBA

Title

Ceo

Phone

(716) 533-0824

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Empire Transportation provider inc Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1487294153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SHETLAND DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142213919",
            "telephone_number": "716-400-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NIAGARA FALLS BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508900",
            "telephone_number": "716-400-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE TRANSPORTATION PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "AYNALEM",
        "authorized_official_first_name": "ABIYU",
        "authorized_official_middle_name": "KEBEDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-533-0824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "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": "04317837",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY MEDICAL TRANSPORTATION",
            "identifier": "04317837",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tonawanda",
            "affiliation": "N",
            "endpointDescription": "Transportation",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tonawanda",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tonawanda",
            "address_1": "1330 Niagara Falls Blvd",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141508900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empire Transportation provider inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empire Transportation provider inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Leigh Edholm, LPN
• Ray Edwards Sr., LPN
• Yasmeen Elhalaby, PT, DPT
• Embrace Mental Health Counseling PC
• Empire Ophthalmology Services, P.C.
• Empire Vision Center Inc
• Amy Elizabeth Enser, PT
• Tiffany Epps, LPN
• Jeffrey John Ermer, RPH
• Esr Medical Transportation LLC

• Non-emergency Medical Transport (VAN) in Tonawanda, NY
• Providers in Tonawanda, 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 Jan 21, 2020; 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.