Quaker Valley Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02005 Issued in PA

Legal business name

QUAKER VALLEY AMBULANCE AUTHORITY

Practice address

3550 University Blvd
Moon Township, PA 15108-2533

Phone

(412) 262-2621

Fax

(412) 262-2003

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian D. Herskovitz

Title

Executive Director

Phone

(412) 262-2621

Specialties & licenses 1

Addresses

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1699816918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082533",
            "telephone_number": "412-262-2621",
            "fax_number": "412-262-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082533",
            "telephone_number": "412-262-2621",
            "fax_number": "412-262-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKER VALLEY AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HERSKOVITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-262-2621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Western Pennsylvania, Inc.
• Derek Pollard
• Vincent Michael Pronesti, D.O.
• Jenna R Puhalla
• Chelsey Naum Purpura, MS, LPC
• Terri L Rawson, LPC
• Robert John Ree, LSW
• Riana Christine Rhoden, M.D.
• Susan Riggle, RPH
• Tammy Lynne Rink, NCC, LPC

• Land Ambulance in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.