Active NPI
TLC Medical Transport SVCS Inc
- Land Ambulance
- Syracuse, NY
National Provider Identifier
1609199066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 13302
- Legal business name
- TLC MEDICAL TRANSPORT SVCS INC
- Practice address
- 638 Burnet Ave
EMS Billing Office
Syracuse, NY 13203-2404 - Phone
- (315) 422-0211
- Fax
- (315) 635-3289
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David J. Butler
- Title
- President
- Phone
- (315) 422-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 13302 | NY | Primary |
Addresses
Primary practice location
638 Burnet Ave
EMS Billing Office
Syracuse, NY 13203-2404
Mailing address
21 Oswego St
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100702000143 | NY | Part B Supplier - Ambulance Service Supplier | 0941331128 | Practice locations: Syracuse, NY; Nedrow, NY |
National Provider Directory
National Provider Directory- Tax ID family
- TLC Medical Transport SVCS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Syracuse, NY
- NPI 1225253644
Locations
6505 S Salina St
Nedrow, NY 13120
Phone (315) 422-0211
4701 Peregrine Way
Syracuse, NY 13215
4596 Nixon Park Dr
Ste 2
Syracuse, NY 13215
Phone (315) 422-0211
638 Burnet Ave
Ofc
Syracuse, NY 13203
Phone (315) 422-0211
4831 Velasko Rd
Syracuse, NY 13215
Phone (315) 422-0211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1609199066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OSWEGO ST",
"address_2": "PO BOX 535",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130270535",
"telephone_number": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 BURNET AVE",
"address_2": "EMS BILLING OFFICE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032404",
"telephone_number": "315-422-0211",
"fax_number": "315-635-3289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC MEDICAL TRANSPORT SVCS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-12",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-422-0211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "13302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.