Upper Saucon Amb Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04127 Issued in PA

Legal business name

UPPER SAUCON AMB CORP

Practice address

5560 Camp Meeting Rd
Center Valley, PA 18034-8401

Phone

(610) 282-1565

Fax

(610) 282-1954

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Gerard Cozzolino

Title

Treasurer

Phone

(610) 282-1565

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1669454419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 CAMP MEETING RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348401",
            "telephone_number": "610-282-1565",
            "fax_number": "610-282-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 CAMP MEETING RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348401",
            "telephone_number": "610-282-1565",
            "fax_number": "610-282-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SAUCON AMB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "COZZOLINO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "610-282-1565"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012083540",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "280208",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HP",
            "identifier": "20026672",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50003846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0041378000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HP",
            "identifier": "1062531",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "280208",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Marie Truckenmiller, FNP-BC
• Antonette Tucay
• Kaley Uhl
• Denise Underkoffler, SLP
• Universal Mind Therapy, LLC
• Ursula M. Hoffmann, MD
• Emily Elizabeth Valazza, M.S., CF-SLP
• Valley Center for Cognitive Behavioral Therapy, Inc.
• Paige Elizabeth Van Wirt
• Emily Vanhorn

• Land Ambulance in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.