Ambustat

Primary specialty

AmbulanceTaxonomy code 341600000X

License

09024 Issued in PA

Legal business name

AMBUSTAT

Practice address

5512 N 5TH St
Philadelphia, PA 19120-2806

Phone

(215) 262-0355

NPI assigned

Oct 2, 2009

Last updated

Oct 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eui S Chung

Title

Owner

Phone

(215) 262-0355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1346575743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202806",
            "telephone_number": "215-262-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBUSTAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "EUI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-262-0355"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "09024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.