Falck Northeast Corp.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

09025 Issued in PA

Legal business name

FALCK NORTHEAST CORP.

Doing business as

Lifestar Response of Pennsylvania

Practice address

1101 E Ridge Pike
Plymouth Meeting, PA 19462-2720

Phone

(800) 864-7523

Fax

(410) 247-4856

NPI assigned

Aug 9, 2011

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FALCK EMS CORPAs reported in NPPES

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

Authorized official

Name

Mr. Charles Maymon

Title

Regional Ceo

Phone

(954) 868-6668

Specialties & licenses 2

Addresses

Other names 1

• Lifestar Response of Pennsylvania Doing business as

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1104105022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827299",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827299",
            "telephone_number": "800-864-7523",
            "fax_number": "410-247-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E RIDGE PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622720",
            "telephone_number": "800-864-7523",
            "fax_number": "410-247-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCK NORTHEAST CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALCK EMS CORP",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "954-868-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "09025",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "09025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestar Response of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy Faidley
• Jennifer Faikish, C.R.N.P.
• Comfort Fakorede-Falusi, RN
• Albert Falama, LPN
• Mary Falatko
• Ayo Faleye
• Lowanda Fallins
• Esther Omowumi Falodun
• Oluwafemi Moses Falodun
• Gabriel Famuyiro

• Land Ambulance in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.