Organization Active NPI

Cetronia Ambulance Corps, Inc

  • Land Ambulance
  • Allentown, PA
National Provider Identifier
1114919396
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Mar 18, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007323700008MedicaidPA
0007323700009MedicaidPA

Other names 1

  • Cetronia Ambulance Corps Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0912168Cetronia Ambulance Corps Inc4300 Broadway, Allentown, PA 18104Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.