Southeastern Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

12036 Issued in PA

Legal business name

SOUTHEASTERN EMERGENCY MEDICAL SERVICE

Practice address

3855 Heaton Road
Huntingdon Valley, PA 19006-1803

Phone

(215) 354-4443

Fax

(215) 354-4453

NPI assigned

Aug 3, 2012

Last updated

May 13, 2013By 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

Dr. Daniel Joseph Piccillo

Title

President/Owner

Phone

(215) 354-4443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1578810917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HEATON ROAD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061803",
            "telephone_number": "215-354-4443",
            "fax_number": "215-354-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEATON ROAD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061803",
            "telephone_number": "215-354-4443",
            "fax_number": "215-354-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "PICCILLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "215-354-4443",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "12036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.