Platinum Ambulance Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

09022 Issued in PA

Legal business name

PLATINUM AMBULANCE INC.

Practice address

140 Tomlinson Rd
Huntingdon Valley, PA 19006-4259

Phone

(215) 947-5800

Fax

(215) 947-5801

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Sergey V Naboka

Title

Owner

Phone

(215) 947-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1124251681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TOMLINSON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064259",
            "telephone_number": "215-947-5800",
            "fax_number": "215-947-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TOMLINSON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064259",
            "telephone_number": "215-947-5800",
            "fax_number": "215-947-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "NABOKA",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-947-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "09022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.

Verify at the official NPI Registry.