Ruvim Kolesnikovich

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

129209 Issued in PA

Practice address

27 Tomlinson Rd
Suite 103
Huntingdon Valley, PA 19006-4218

Phone

(215) 789-8651

Fax

(215) 689-4232

NPI assigned

Dec 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pure Life Ambulance Inc

  • Land Ambulance
  • Huntingdon Valley, PA
  • NPI 1003237249
  NPD (past) Authorized official

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1396176970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 103",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-789-8651",
            "fax_number": "215-689-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "SUITE 103",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "215-789-8651",
            "fax_number": "215-689-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOVICH",
        "first_name": "RUVIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "129209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channarayapatna V. Kishan, MD
• Heidi L Kleiman, LBS
• Leonid Klichinsky, DPT
• William Koehler, MD
• Richard Allen Koff, MD
• Christine Konow
• Kosher Foods & More LLC
• Catherine M Kovatch, PH.D.
• Aleksandr Kozma
• Irving A. Kraft, D.D.S.

• Basic Emergency Medical Technician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Basic Emergency Medical Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.