Active NPI
Med Mobile EMS
- Ambulance
- East Stroudsburg, PA
National Provider Identifier
1194859413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3416L0300X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014272190001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.