Life Star Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10037 Issued in PA

Legal business name

LIFE STAR MEDICAL TRANSPORT, LLC

Doing business as

Life Star Ambulance

Practice address

111 Buck Rd
200-6
Huntingdon Valley, PA 19006-1544

Phone

(215) 776-3224

NPI assigned

Dec 15, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ilya IofikNPI 1578882031

Title

President

Phone

(215) 776-3224

Specialties & licenses 1

Addresses

Other names 1

• Life Star Ambulance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ilya Iofik, EMT

  • Land Ambulance
  • Huntingdon Valley, PA
  • NPI 1578882031

  Land Transport

  NPD (past) Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1710280649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ESSEX LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472038",
            "telephone_number": "215-776-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUCK RD",
            "address_2": "200-6",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "215-776-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAR MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "IOFIK",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-776-3224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "10037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Star Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karyn Lewin, MD
• Liberty Primary Care, LLC
• Jean Ann Lichstein, LCSW
• Life Alert Ambulance Inc
• Life Alert Ambulance Inc
• Lifecare Ambulance LLC
• Lifecross, Inc
• Lifestream Medical
• Nicole Linaweaver, LBS
• Gene Linetsky, DPM

• Land Ambulance in Huntingdon Valley, PA
• Providers in Huntingdon 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 Dec 15, 2010; 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.