Genesis Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

11051 Issued in PA

Legal business name

GENESIS MEDICAL TRANSPORT

Practice address

2180 Margaret St
Philadelphia, PA 19124-2839

Phone

(610) 333-3401

NPI assigned

Jan 26, 2012

Last updated

Jan 26, 2012By 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. Andrey Prikhodko

Title

President

Phone

(610) 333-3401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1598036261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 BLEIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113829",
            "telephone_number": "267-934-1335",
            "fax_number": "215-525-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MARGARET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242839",
            "telephone_number": "610-333-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "PRIKHODKO",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-333-3401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "11051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cynthia Genesio, M.D.
• Genesis Eldercare Centers Chapel Manor Inc (Chapel Manor)
• Genesis Healthcare
• Genesis Home Care Inc
• Genesis II, Inc.
• Genesis Pennypack Center
• Genesis Rehab Services
• Genesus Rehab Services
• Genetic Diagnostic Laboratory
• Stephen Genett

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.