Millennium Medical Transportation, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13002 Issued in PA

Legal business name

MILLENNIUM MEDICAL TRANSPORTATION, INC

Practice address

9986 Gantry Rd
Rear BLD #B
Philadelphia, PA 19115-1002

Phone

(267) 228-5299

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Dorotov

Title

President

Phone

(267) 228-5299

Specialties & licenses 1

Addresses

Other names 1

• HEARTLINE AMBULANCE Doing business as

Locations

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1699014373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017B JASON DR.",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "267-228-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9986 GANTRY RD",
            "address_2": "REAR BLD #B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151002",
            "telephone_number": "267-228-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "DOROTOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-228-5299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLINE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Millard, RD, LDN
• Millbourne Medical Supply LLC
• Felina Mille, MD
• Patrick Johnston Mille, M.D.
• Millennium Clinical Services Inc
• Michael M Millenson, M.D.
• Miller Boselli Internal Medicine
• Anna Catherine Miller Fogal
• Dawn Miller McElroy
• Rikki H Miller-Gardner

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.