Organization Active NPI

Quality Star Medical L.L.C Ambuance

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1689952699
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11030 Issued in PA
Legal business name
QUALITY STAR MEDICAL L.L.C AMBUANCE
Practice address
6718 Media St
Philadelphia, PA 19151-3632
Phone
(267) 584-8850
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Mr. Gershon Jean
Title
President
Phone
(267) 584-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11030 PA Primary

Addresses

Primary practice location

6718 Media St
Philadelphia, PA 19151-3632

Mailing address

6718 Media St
Philadelphia, PA 19151-3632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1689952699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 MEDIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 MEDIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513632",
            "telephone_number": "267-584-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY STAR MEDICAL L.L.C AMBUANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "GERSHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-584-8850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "11030",
            "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 Jul 25, 2011; 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.