Nickel City Group, LLC

Primary specialty

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

Legal business name

NICKEL CITY GROUP, LLC

Practice address

1581 E Delavan Ave
Buffalo, NY 14215-3629

Phone

(716) 281-1150

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Lavar Gibson

Title

Owner

Phone

(716) 281-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Go Dash Transportation Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1881295996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 E DELAVAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153629",
            "telephone_number": "716-281-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 E DELAVAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153629",
            "telephone_number": "716-281-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKEL CITY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-281-1150",
        "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": "06085390",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@godashtransportation.com",
            "affiliation": "N",
            "endpointDescription": "admin@godashtransportation.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1581 E Delavan Ave",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142153629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Go Dash Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Raye Nichols
• Carol M Nicholson, CAROL NICHOLSON,ED.M
• Erica Nicholson
• Sarah Elizabeth Nicholson, LMSW
• Tiffany Nicholson, NURSE PRACTITIONER
• Nickel City Pharmacy Inc
• Debbie Nickson
• Dia Helen Nicolatos, LCSWR
• Nicoles Elysian Massage
• Lori Nicolini

• Non-emergency Medical Transport (VAN) in Buffalo, NY
• Providers in Buffalo, 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 Nov 4, 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.