Northeast Shuttle Service

Primary specialty

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

License

02360290 Issued in NY

Legal business name

NORTHEAST SHUTTLE SERVICE

Practice address

23 Russell CT
Troy, NY 12182-9719

Phone

(518) 235-8100

Fax

(518) 235-8150

NPI assigned

Oct 24, 2006

Organization subpart

No

Name

Jay Hamel

Title

President

Phone

(518) 235-8100

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831273358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RUSSELL CT",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121829719",
            "telephone_number": "518-235-8100",
            "fax_number": "518-235-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RUSSELL CT",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121829719",
            "telephone_number": "518-235-8100",
            "fax_number": "518-235-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SHUTTLE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-235-8100"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "02360290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02360290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Troy, NY
• 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.