Organization Active NPI

Ssa Wellness LLC

  • Non-emergency Medical Transport (VAN)
  • Far Rockaway, NY
National Provider Identifier
1689560807
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SSA WELLNESS LLC
Practice address
434 Beach 36TH St
Far Rockaway, NY 11691-1507
Phone
(646) 290-0142
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Sherese Stridiron
Title
Owner
Phone
(646) 290-0142

Specialties & licenses 1

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

Addresses

Primary practice location

434 Beach 36TH St
Far Rockaway, NY 11691-1507

Mailing address

434 Beach 36TH St
Far Rockaway, NY 11691-1507
Phone (646) 290-0142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1689560807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BEACH 36TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911507",
            "telephone_number": "646-290-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 BEACH 36TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911507",
            "telephone_number": "646-290-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A",
        "authorized_official_last_name": "STRIDIRON",
        "authorized_official_first_name": "SHERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-290-0142"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.