SKMP Enterprises, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

L015P2 Issued in CT

Legal business name

SKMP ENTERPRISES, INC.

Doing business as

Access Ambulance Service

Practice address

279 Noble Ave
Bridgeport, CT 06608-2210

Phone

(203) 637-2351

Fax

(203) 698-2150

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By 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

Mr. Mark Joseph Panico, MBA

Title

VP / Treasurer

Phone

(203) 996-2208

Specialties & licenses 1

Addresses

Other names 1

• Access Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1487837241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064730188",
            "telephone_number": "203-637-2351",
            "fax_number": "203-698-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 NOBLE AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082210",
            "telephone_number": "203-637-2351",
            "fax_number": "203-698-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKMP ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "PANICO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VP / TREASURER",
        "authorized_official_telephone_number": "203-996-2208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "L015P2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.