Organization Active NPI

Hayatt Health Service, Inc.

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1538412002
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
09083 Issued in PA
Legal business name
HAYATT HEALTH SERVICE, INC.
Practice address
111 Buck Rd
Unit 3, Suite 1
Huntingdon Valley, PA 19006-1544
Phone
(215) 259-3194
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Mr. Ayman Baali, FR
Title
President
Phone
(609) 352-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 09083 PA Primary

Addresses

Primary practice location

111 Buck Rd
Unit 3, Suite 1
Huntingdon Valley, PA 19006-1544

Mailing address

111 Buck Rd
Unit 3, Suite 1
Huntingdon Valley, PA 19006-1544
Phone (215) 259-3194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000366 PA Part B Supplier - Ambulance Service Supplier 6901051754 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

111 Buck Rd
Unit 3
Huntingdon Valley, PA 19006
Phone (215) 259-3194

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1538412002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BUCK RD",
            "address_2": "UNIT 3, SUITE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "215-259-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUCK RD",
            "address_2": "UNIT 3, SUITE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "215-259-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYATT HEALTH SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "BAALI",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-352-4482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FR"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "09083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.