Organization Active NPI

Med Mobile EMS

  • Ambulance
  • East Stroudsburg, PA
National Provider Identifier
1194859413
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3416L0300X Issued in PA
Legal business name
MED MOBILE EMS
Practice address
29 E 1St St
East Stroudsburg, PA 18301-1901
Phone
(570) 656-5185
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
John M Ronaldo
Title
Director
Phone
(570) 656-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3416L0300X PA Primary

Addresses

Primary practice location

29 E 1St St
East Stroudsburg, PA 18301-1901

Mailing address

29 E 1St St
East Stroudsburg, PA 18301-1901
Phone (570) 656-5185

Other identifiers 1

IdentifierTypeStateIssuer
1014272190001MedicaidPA

National Provider Directory

National Provider Directory

Locations

5050 Milford Rd
Ste 2
East Stroudsburg, PA 18302
Phone (570) 656-5185

39 N 7th St
Indiana, PA 15701

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1194859413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E 1ST ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011901",
            "telephone_number": "570-656-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 1ST ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011901",
            "telephone_number": "570-656-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MOBILE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "RONALDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-656-5185"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014272190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.