NPIMap

Organization Active NPI

Newport Township Firemen's Community

  • Land Ambulance
  • Nanticoke, PA
National Provider Identifier
1245399286
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NEWPORT TOWNSHIP FIREMEN'S COMMUNITY
Practice address
1002 Center St.
Nanticoke, PA 18634-1904
Phone
(570) 735-4652
Fax
(570) 735-4652
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
John P. Floryshak
Title
President
Phone
(570) 735-4652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1002 Center St.
Nanticoke, PA 18634-1904

Mailing address

1002 Center St.
Nanticoke, PA 18634-1904
Phone (570) 735-4652

Other identifiers 2

IdentifierTypeStateIssuer
P036777OtherCHAMPVA
833937OtherFEDERAL BLACK LUNG

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1245399286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CENTER ST.",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341904",
            "telephone_number": "570-735-4652",
            "fax_number": "570-735-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CENTER ST.",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341904",
            "telephone_number": "570-735-4652",
            "fax_number": "570-735-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT TOWNSHIP FIREMEN'S COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "FLORYSHAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-735-4652"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPVA",
            "identifier": "P036777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "833937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.