NPIMap

Organization Active NPI

Emsstar LLC

Doing business as Em-Star Ambulance Service

  • Land Ambulance
  • Allentown, PA
National Provider Identifier
1407018823
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04228 Issued in PA
Legal business name
EMSSTAR LLC
Doing business as
Em-Star Ambulance Service
Practice address
620 N Graham St
Allentown, PA 18109-2049
Phone
(215) 764-8803
Fax
(215) 827-5608
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EMSSTAR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Dean A Bollendorf
Title
President
Phone
(215) 764-8803

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMST22015 NJ
Land Ambulance 3416L0300X 04228 PA Primary
Non-emergency Medical Transport (VAN) 343900000X EMST22015 NJ

Addresses

Primary practice location

620 N Graham St
Allentown, PA 18109-2049

Mailing address

300 Domino LN
Philadelphia, PA 19128-4352
Phone (215) 764-8803

Other identifiers 2

IdentifierTypeStateIssuer
1011955800001MedicaidPA
0077488MedicaidNJ

Other names 1

  • Em-Star Ambulance Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Em Star Ambulance Service2 organizations share this tax ID, including this one
Part of
Em Star Ambulance Service

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1407018823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DOMINO LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284352",
            "telephone_number": "215-764-8803",
            "fax_number": "215-827-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N GRAHAM ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092049",
            "telephone_number": "215-764-8803",
            "fax_number": "215-827-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMSSTAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMSSTAR LLC",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BOLLENDORF",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-764-8803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "EMST22015",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04228",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "EMST22015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011955800001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077488",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Em-Star Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.