Plymouth Borough Ambulance Assoc. Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04175 Issued in PA

Legal business name

PLYMOUTH BOROUGH AMBULANCE ASSOC. INC.

Practice address

24 Gaylord Ave
Plymouth, PA 18651-2202

Phone

(570) 779-9878

Fax

(570) 779-4666

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Miller

Title

President

Phone

(570) 779-4388

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Edmund Piszczek, MD

  • Surgery Physician
  • Plymouth, PA
  • NPI 1912076837
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1316097462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GAYLORD AVE",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186512202",
            "telephone_number": "570-779-9878",
            "fax_number": "570-779-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GAYLORD AVE",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186512202",
            "telephone_number": "570-779-9878",
            "fax_number": "570-779-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH BOROUGH AMBULANCE ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-779-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC BLUE BELL HMO",
            "identifier": "2165244",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC RR MEDICARE",
            "identifier": "590014556",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019186260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "808300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "080026400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTH PLAN COMMERCIA",
            "identifier": "PA7879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF PA BLUE SHIELD",
            "identifier": "201756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET HMO MDC",
            "identifier": "PA7879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTH PLAN HMO MDC",
            "identifier": "PA7879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALMED",
            "identifier": "PA7879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HMO DPA",
            "identifier": "30013904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET COMMERCIAL",
            "identifier": "PA7879",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N.E.P.a Foot & Ankle Specialists P.C.
• Amanda Marie Naperski, MS, LAT, ATC, CES
• Abu Panackal, OTR/L
• Ann B Petrillo, D.D.S.
• Joseph Edmund Piszczek, MD
• Timothy Matthew Race, MSN, CRNP, PMHNP-BC
• Paul Michael Roan, B.S.
• Roans Prescription Drug Store
• Louis Rodenbeck
• James B Rondina, MD

• Ambulance in Plymouth, PA
• Providers in Plymouth, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.