Emsstar LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04228 Issued in PA

Legal business name

EMSSTAR LLC

Doing business as

Em-Star Ambulance Service

Practice address

3800 Jasper St
Unit 3
Philadelphia, PA 19124-5631

Phone

(215) 764-8803

Fax

(215) 827-5608

NPI assigned

Jun 26, 2008

Organization subpart

Yes

Parent organization

EMSSTAR LLCAs reported in NPPES

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

Authorized official

Name

Mr. Dean A Bollendorf

Title

President

Phone

(215) 764-8803

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Em-Star Ambulance Service Doing business as

Part of

Emsstar LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Emsstar, LLC

  • Land Ambulance
  • Philadelphia, PA
  • NPI 1316920630
  NPPES parent name

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1023270428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DOMINO LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284352",
            "telephone_number": "215-764-8803",
            "fax_number": "215-827-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JASPER ST",
            "address_2": "UNIT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245631",
            "telephone_number": "215-764-8803",
            "fax_number": "215-827-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMSSTAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMSSTAR LLC",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BOLLENDORF",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-764-8803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04228",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "EMST22015",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "EMST22015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011955800001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077488",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Em-Star Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.