Star Tech Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

STAR TECH AMBULANCE INC

Practice address

380 Red Lion Rd Ste 226
Huntingdon Valley, PA 19006-6453

Phone

(267) 890-4555

Fax

(215) 464-1628

NPI assigned

Mar 19, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dmitry Boichenko

Title

President

Phone

(267) 890-4555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1205695319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RED LION RD STE 226",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066453",
            "telephone_number": "267-890-4555",
            "fax_number": "215-464-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RED LION RD STE 226",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066453",
            "telephone_number": "267-890-4555",
            "fax_number": "215-464-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR TECH AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BOICHENKO",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-890-4555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Starts Hear, LLC
• Yekaterina Spivak, RPA-C, IBCLC
• Star Home Health Care, LLC.
• Star Med Ambulance Inc.
• Star Plus Ambulance, Inc.
• Statewide EMS Inc
• Staton Health LLC
• Adam Stefanowicz III, DMD
• Stellar Prosthetics, Inc
• Kenneth Sternberger, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.