Victory Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10020 Issued in PA

Legal business name

VICTORY AMBULANCE, INC.

Practice address

31 Tomlinson Rd
Huntingdon Valley, PA 19006-4218

Phone

(215) 947-6333

Fax

(215) 947-6335

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Niyaz Mirzayev, EMT

Title

President

Phone

(215) 947-6333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1235441692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TOMLINSON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-947-6333",
            "fax_number": "215-947-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TOMLINSON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-947-6333",
            "fax_number": "215-947-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "MIRZAYEV",
        "authorized_official_first_name": "NIYAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-6333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "10020",
            "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 Aug 10, 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.