Active NPI
Romed, Inc
- Land Ambulance
- Philadelphia, PA
National Provider Identifier
1619065109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03324
- Legal business name
- ROMED, INC
- Practice address
- 2860 Hedley St
Suite 101
Philadelphia, PA 19137-1919 - Phone
- (888) 676-4911
- Fax
- (215) 624-4118
- NPI assigned
- Oct 10, 2006
- 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. Roman Pristatsky
- Title
- President
- Phone
- (888) 676-4911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03324 | PA | Primary |
Addresses
Primary practice location
2860 Hedley St
Suite 101
Philadelphia, PA 19137-1919
Mailing address
PO Box 6276
Philadelphia, PA 19136-6276
Phone (888) 676-4911
Other names 1
- ROMED 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 |
|---|---|---|---|---|
| O20100309000335 | PA | Part B Supplier - Ambulance Service Supplier | 4486799988 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
8312 State Rd
Rear
Philadelphia, PA 19136
Phone (215) 624-4110
2860 Hedley St
Ste 101
Philadelphia, PA 19137
Phone (888) 676-4911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1619065109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6276",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191366276",
"telephone_number": "888-676-4911",
"fax_number": "215-624-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 HEDLEY ST",
"address_2": "SUITE 101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191371919",
"telephone_number": "888-676-4911",
"fax_number": "215-624-4118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "PRISTATSKY",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-676-4911",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROMED 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 Sep 25, 2013; 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.