Active NPI
Cetronia Ambulance Corps, Inc
- Land Ambulance
- Allentown, PA
National Provider Identifier
1114919396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CETRONIA AMBULANCE CORPS, INC
- Practice address
- 4300 Broadway
Allentown, PA 18104-9564 - Phone
- (610) 398-0239
- Fax
- (610) 395-5028
- NPI assigned
- Aug 16, 2005
- 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
- Mr. Robert F. Mateff Sr.
- Title
- Chief Executive Officer
- Phone
- (610) 398-0239
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03177 | PA | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4300 Broadway
Allentown, PA 18104-9564
Mailing address
4300 Broadway
Allentown, PA 18104-9564
Phone (610) 398-0239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007323700008 | Medicaid | PA | |
| 0007323700009 | Medicaid | PA |
Other names 1
- Cetronia Ambulance Corps
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100120000603 | PA | Part B Supplier - Ambulance Service Supplier | 7911914544 | Practice locations: Allentown, PA; Kutztown, PA; Nazareth, PA; New Tripoli, PA; Whitehall, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0912168 | Cetronia Ambulance Corps Inc | Certificate of waiver | Feb 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
7355 William Ave
Ste 700
Allentown, PA 18106
6510 Schantz Rd
Allentown, PA 18104
Phone (610) 841-5690
4300 Broadway
Allentown, PA 18104
Phone (610) 398-0239
155 Firehouse Dr
Nazareth, PA 18064
Phone (610) 759-2274
7242 Decatur St
New Tripoli, PA 18066
Phone (610) 298-2645
2342 Pine St
Whitehall, PA 18052
Phone (610) 266-2604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1114919396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BROADWAY",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049564",
"telephone_number": "610-398-0239",
"fax_number": "610-395-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BROADWAY",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049564",
"telephone_number": "610-398-0239",
"fax_number": "610-395-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CETRONIA AMBULANCE CORPS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "MATEFF",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "610-398-0239",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03177",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007323700008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007323700009",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cetronia Ambulance Corps",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cetronia Ambulance Corps",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.