Active NPI
Carestat Medical Services Inc.
- Ambulance
- Philadelphia, PA
National Provider Identifier
1083374144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CARESTAT MEDICAL SERVICES INC.
- Practice address
- 842 Red Lion Rd
Philadelphia, PA 19115-1475 - Phone
- (215) 768-7918
- NPI assigned
- Dec 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Mark Collins
- Title
- Ceo
- Phone
- (215) 768-7918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
842 Red Lion Rd
Philadelphia, PA 19115-1475
Mailing address
PO Box 405
Southampton, PA 18966-9998
Phone (215) 768-7918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220204000966 | PA | Part B Supplier - Ambulance Service Supplier | 7012300593 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1083374144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189669998",
"telephone_number": "215-768-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 RED LION RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191151475",
"telephone_number": "215-768-7918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARESTAT MEDICAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-768-7918"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"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 Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.