Active NPI
Hayatt Health Service, Inc.
- Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1538412002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09083
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130227000366 | PA | Part B Supplier - Ambulance Service Supplier | 6901051754 | Practice locations: Huntingdon Valley, PA |
National Provider Directory
National Provider DirectoryLocations
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.