Organization Active NPI

Medlyft

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1235057050
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDLYFT
Practice address
5608 Walton Ave
Philadelphia, PA 19143-2426
Phone
(215) 436-7819
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Ms. Shakia T Smith-Fudge
Title
Fleet Operator
Phone
(215) 820-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5608 Walton Ave
Philadelphia, PA 19143-2426

Mailing address

5608 Walton Ave
Philadelphia, PA 19143-2426
Phone (215) 436-7819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1235057050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 WALTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432426",
            "telephone_number": "215-436-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 WALTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432426",
            "telephone_number": "215-436-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLYFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH-FUDGE",
        "authorized_official_first_name": "SHAKIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FLEET OPERATOR",
        "authorized_official_telephone_number": "215-820-9233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.