Organization Active NPI

Tristate Ambulance Inc

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1043503428
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11024 Issued in PA
Legal business name
TRISTATE AMBULANCE INC
Practice address
12301 McNulty Rd
Unit B
Philadelphia, PA 19154-1000
Phone
(267) 334-6269
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Leon Belov
Title
Manager
Phone
(267) 334-6269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11024 PA Primary

Addresses

Primary practice location

12301 McNulty Rd
Unit B
Philadelphia, PA 19154-1000

Mailing address

72 Bellwood Dr
Feasterville Trevose, PA 19053-7215
Phone (267) 334-6269

National Provider Directory

National Provider Directory

Locations

12301 McNulty Rd
Ste B
Philadelphia, PA 19154
Phone (215) 969-7700

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1043503428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BELLWOOD DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537215",
            "telephone_number": "267-334-6269",
            "fax_number": "888-316-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MCNULTY RD",
            "address_2": "UNIT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541000",
            "telephone_number": "267-334-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "BELOV",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-334-6269"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "11024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.