Penn Stat Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PENN STAT INC.

Practice address

465 Pike Rd
Unit 117
Huntingdon Valley, PA 19006-1620

Phone

(215) 900-0375

NPI assigned

Jul 23, 2011

Last updated

Mar 17, 2014By 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

Mr. Abdul Mumith

Title

Chief Executive Officer

Phone

(215) 900-0375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1023396199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PIKE RD",
            "address_2": "UNIT 117",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061620",
            "telephone_number": "215-900-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PIKE RD",
            "address_2": "UNIT 117",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061620",
            "telephone_number": "215-900-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STAT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "MUMITH",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-900-0375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deborah Pelberg, MA LMFT
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• Penn Health Ambulance Corp
• Penncross Ambulance Service LLC
• Pennlife Homecare LLC
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02110)
• Pennsylvania Dermatology Group, P.C.
• Pennsylvania Diversity Children's Organization, Inc

• Land Ambulance in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.