Organization Active NPI

Rostraver West Newton EMS

  • Land Ambulance
  • Belle Vernon, PA
National Provider Identifier
1437149564
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04162 Issued in PA
Legal business name
ROSTRAVER WEST NEWTON EMS
Practice address
100 Pleasant Valley Blvd
Belle Vernon, PA 15012-4002
Phone
(724) 929-9116
Fax
(724) 929-3159
NPI assigned
Oct 28, 2005
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Mr. Greg Cominsky
Title
Office Manager
Phone
(724) 929-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04162 PA Primary

Addresses

Primary practice location

100 Pleasant Valley Blvd
Belle Vernon, PA 15012-4002

Mailing address

PO Box 603
Belle Vernon, PA 15012-0603
Phone (724) 929-9116

Other identifiers 4

IdentifierTypeStateIssuer
333404OtherPAADVANTRA
1004361OtherPAGATEWAY
0010642360006MedicaidPA
103703OtherPAUPMC FOR LIFE MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000239 PA Part B Supplier - Ambulance Service Supplier 4183871155 Practice locations: Belle Vernon, PA

National Provider Directory

National Provider Directory

Locations

100 Pleasant Valley Blvd
Rostraver Township, PA 15012
Phone (724) 929-9116

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1437149564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150120603",
            "telephone_number": "724-929-9116",
            "fax_number": "724-929-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLEASANT VALLEY BLVD",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124002",
            "telephone_number": "724-929-9116",
            "fax_number": "724-929-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSTRAVER WEST NEWTON EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "COMINSKY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-929-9116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "333404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1004361",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010642360006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR LIFE MEDICARE",
            "identifier": "103703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.