Organization Active NPI

Success America

Doing business as Professional Ambulance

  • Ambulance
  • Willow Grove, PA
National Provider Identifier
1619162344
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04025 Issued in PA
Legal business name
SUCCESS AMERICA
Doing business as
Professional Ambulance
Practice address
1813 Easton Rd
Willow Grove, PA 19090-4102
Phone
(215) 828-5936
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Lee Schwartz
Title
President
Phone
(215) 828-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04025 PA Primary

Addresses

Primary practice location

1813 Easton Rd
Willow Grove, PA 19090-4102

Mailing address

1813 Easton Rd
Willow Grove, PA 19090-4102
Phone (215) 828-5936

Other identifiers 2

IdentifierTypeStateIssuer
1008148260001MedicaidPA
2274060000OtherPAINDEPENDENCE BLUE CROSS

Other names 1

  • Professional Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

2427 Susquehanna Rd
Abington, PA 19001
Phone (215) 517-7935

1813 Easton Rd
Willow Grove, PA 19090
Phone (215) 828-5936

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1619162344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904102",
            "telephone_number": "215-828-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904102",
            "telephone_number": "215-828-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-828-5936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008148260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2274060000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.