Organization Active NPI

Age Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Syracuse, NY
National Provider Identifier
1558159988
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AGE TRANSPORTATION LLC
Practice address
1307 Grant Blvd
Syracuse, NY 13208-3047
Phone
(364) 201-9906
NPI assigned
Apr 26, 2025
Last updated
Apr 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Ghofran Alani
Title
Owner
Phone
(364) 201-9906

Specialties & licenses 1

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

Addresses

Primary practice location

1307 Grant Blvd
Syracuse, NY 13208-3047

Mailing address

1307 Grant Blvd
Syracuse, NY 13208-3047
Phone (364) 201-9906

Other names 1

  • AGE Medical Transportation LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1558159988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083047",
            "telephone_number": "364-201-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083047",
            "telephone_number": "364-201-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "ALANI",
        "authorized_official_first_name": "GHOFRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "364-201-9906"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGE Medical Transportation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.