Organization Active NPI

Romed, Inc

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1619065109
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03324 Issued in PA
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

Updated by the provider on Sep 25, 2013

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000335 PA Part B Supplier - Ambulance Service Supplier 4486799988 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.