Organization Active NPI

Star Medical Transport Services LLC

Doing business as D/B/A - Lifemed Ambulance

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1598196453
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STAR MEDICAL TRANSPORT SERVICES LLC
Doing business as
D/B/A - Lifemed Ambulance
Practice address
401 E. Hunting Park Avenue
Philadelphia, PA 19124
Phone
(215) 694-6757
Fax
(267) 455-0436
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mr. Maurice Williams
Title
Owner
Phone
(215) 694-6757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

401 E. Hunting Park Avenue
Philadelphia, PA 19124

Mailing address

401 E. Hunting Park Avenue
Philadelphia, PA 19124
Phone (215) 694-6757

Other identifiers 1

IdentifierTypeStateIssuer
103640014-0001MedicaidPA

Other names 1

  • D/B/A - Lifemed Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140129000768 PA Part B Supplier - Ambulance Service Supplier 9739318452 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

401 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-4750

401 E Hunting Park Ave
Rear
Philadelphia, PA 19124
Phone (215) 990-2568

3201 Fox St
Philadelphia, PA 19129
Phone (215) 990-2568

1443 E Vernon Rd
Philadelphia, PA 19150
Phone (215) 990-2568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1598196453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E. HUNTING PARK AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "215-694-6757",
            "fax_number": "267-455-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E. HUNTING PARK AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "215-694-6757",
            "fax_number": "267-455-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-694-6757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103640014-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A - Lifemed Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.