Radnor Fire Company of Wayne

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RADNOR FIRE COMPANY OF WAYNE

Practice address

121 S Wayne Ave
Wayne, PA 19087-4116

Phone

(610) 687-3245

Fax

(610) 687-8849

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James J. Kelly Jr.

Title

President

Phone

(610) 687-3245

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Radnor Fire Company Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1053470906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190870031",
            "telephone_number": "610-687-3245",
            "fax_number": "610-687-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874116",
            "telephone_number": "610-687-3245",
            "fax_number": "610-687-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADNOR FIRE COMPANY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-687-3245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012916190002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radnor Fire Company Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radnor Fire Company Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Radiance Chiropractic
• Radnor Family Practice Professional Limited Liability Company
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Family Practice, PLLC, Dba Im Health
• Radnor Township School District
• Mohammad S Rahman
• Antonina C Ranieri, M.S.S.
• Paul S. Rappoport, PH.D.
• Robert L Raymond, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.