Gulfstream Ambulance LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04103 Issued in PA

Legal business name

GULFSTREAM AMBULANCE LLC.

Practice address

11301 Norcom Rd
Philadelphia, PA 19154-2311

Phone

(215) 677-3625

Fax

(215) 677-3016

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Julia Epshteyn

Title

President

Phone

(215) 677-3625

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1316064165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 NORCOM RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191542311",
            "telephone_number": "215-677-3625",
            "fax_number": "215-677-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 NORCOM RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191542311",
            "telephone_number": "215-677-3625",
            "fax_number": "215-677-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSTREAM AMBULANCE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "EPSHTEYN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-677-3625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE PROVIDER",
            "identifier": "0000940000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101279439",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perm Gulati, DDS
• Rakesh Gulati, MD
• Rishi Gulati, DO
• Rohit Gulati, M.D.
• Tina Gulati
• Shivam Gulhar, MD
• Sam Paul Gulino, MD
• Nicole Alexis Gulkis, PSYD
• Rebecca Lakin Gullan, PH.D.
• Jereda Gullatt

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.