Organization Active NPI

Park Ave Taxi, LLC

  • Non-emergency Medical Transport (VAN)
  • Rochester, NY
National Provider Identifier
1669936415
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PARK AVE TAXI, LLC
Practice address
1100 University Ave Ste 208
Rochester, NY 14607-1653
Phone
(585) 442-4444
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Mr. Antenehe Melkie
Title
General Manager
Phone
(585) 442-4444

Specialties & licenses 1

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

Addresses

Primary practice location

1100 University Ave Ste 208
Rochester, NY 14607-1653

Mailing address

1100 University Ave Ste 208
Rochester, NY 14607-1653
Phone (585) 442-4444

Other identifiers 1

IdentifierTypeStateIssuer
04124049MedicaidNY

Other names 1

  • Park Ave Taxi Doing business as

National Provider Directory

National Provider Directory

Locations

1100 University Ave
Ste 208
Rochester, NY 14607
Phone (585) 442-4444

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1669936415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 UNIVERSITY AVE STE 208",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071653",
            "telephone_number": "585-442-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 UNIVERSITY AVE STE 208",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071653",
            "telephone_number": "585-442-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE TAXI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "MELKIE",
        "authorized_official_first_name": "ANTENEHE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "585-442-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "04124049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ave Taxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.