Active NPI
Star Medical Transport Services LLC
Doing business as D/B/A - Lifemed Ambulance
- Land Ambulance
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103640014-0001 | Medicaid | PA |
Other names 1
- D/B/A - Lifemed Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140129000768 | PA | Part B Supplier - Ambulance Service Supplier | 9739318452 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
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.