Active NPI
American Patriot Ambulance Inc
- Land Ambulance
- Philadelphia, PA
National Provider Identifier
1639157985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04072
- Legal business name
- AMERICAN PATRIOT AMBULANCE INC
- Practice address
- 13430 Damar Dr
Philadelphia, PA 19116-1801 - Phone
- (215) 677-7800
- Fax
- (215) 677-7801
- NPI assigned
- Jan 6, 2006
- Last updated
- Sep 5, 2024
- 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. Adi Kronfeld
- Title
- President
- Phone
- (215) 677-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04072 | PA | Primary |
Addresses
Primary practice location
13430 Damar Dr
Philadelphia, PA 19116-1801
Mailing address
PO Box 51303
Philadelphia, PA 19115-6303
Phone (215) 677-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615000315 | PA | Part B Supplier - Ambulance Service Supplier | 4789668112 | Practice locations: Philadelphia, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2333613 | American Patriot Ambulance in | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
380 Red Lion Rd
Ste 202
Huntingdon Valley, PA 19006
Phone (215) 677-7800
13430 Damar Dr
Philadelphia, PA 19116
Phone (215) 677-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1639157985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191156303",
"telephone_number": "215-677-7800",
"fax_number": "215-677-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13430 DAMAR DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161801",
"telephone_number": "215-677-7800",
"fax_number": "215-677-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN PATRIOT AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-06",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "KRONFELD",
"authorized_official_first_name": "ADI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-677-7800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.