Elderide Transport Inc.

Primary specialty

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

Legal business name

ELDERIDE TRANSPORT INC.

Practice address

214 Oriskany Blvd
Suite 24
Whitesboro, NY 13492-1556

Phone

(315) 939-0723

NPI assigned

Dec 10, 2015

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Eric Rockwell

Title

Co-Owner, President

Phone

(315) 939-0723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1801261243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ORISKANY BLVD",
            "address_2": "P.O. BOX 406",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921556",
            "telephone_number": "315-939-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ORISKANY BLVD",
            "address_2": "SUITE 24",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921556",
            "telephone_number": "315-939-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERIDE TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CO-OWNER, PRESIDENT",
        "authorized_official_telephone_number": "315-939-0723"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Joy Del Medico, RN
• Stacey Marie Digiorgio, DPT
• Rebecca Dodge
• Sandra Marie Donda
• Nancy J Edic, LPN
• Alexander Joseph Eller, NURSE PRACTIONER
• Ann C Ermacor, LPN
• Jorge L Falero, MD
• Donna Farrell, RN
• Andrea Marie Fierro, MS,CCC-SLP

• Non-emergency Medical Transport (VAN) in Whitesboro, NY
• Providers in Whitesboro, 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 Dec 10, 2015; 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.