Eastern Long Island Transportation ENT.

Primary specialty

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

Legal business name

EASTERN LONG ISLAND TRANSPORTATION ENT.

Practice address

269 Middle Island Rd
Medford, NY 11763-1507

Phone

(631) 732-6400

Fax

(631) 732-6416

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy J Ryan

Title

President

Phone

(631) 732-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elite Transport Other name

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588707079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PENTMOOR DR",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501606",
            "telephone_number": "631-281-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MIDDLE ISLAND RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631507",
            "telephone_number": "631-732-6400",
            "fax_number": "631-732-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LONG ISLAND TRANSPORTATION ENT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-732-6400",
        "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": "01416260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Dujat, RN
• Denise Duncan, L.M.H.C., N.C.C.
• Joy Dunn
• Sharron Dunnigan
• Christina M Eason
• Jenn Eaton
• Patricia Eisenbach
• Mitchel Wayne Eisenstein, L.M.S.W., D.C.
• Esther Williams Ekanem, LMHC, CASAC, NCC
• Jeffrey Mark Ellis, D.D.S., M.S.,C.N.S

• Non-emergency Medical Transport (VAN) in Medford, NY
• Providers in Medford, 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 Aug 22, 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.