Organization Active NPI

Suburban Emergency Medical Services

  • Land Ambulance
  • Easton, PA
National Provider Identifier
1720058464
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03191 Issued in PA
Legal business name
SUBURBAN EMERGENCY MEDICAL SERVICES
Practice address
3231 Freemansburg Ave
Easton, PA 18045-7118
Phone
(610) 253-0760
Fax
(610) 253-7115
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Mr. Jeffrey A Young
Title
Executive Director
Phone
(610) 923-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03191 PA Primary
Secured Medical Transport (VAN) 343800000X 03191 PA
Non-emergency Medical Transport (VAN) 343900000X 03191 PA

Addresses

Primary practice location

3231 Freemansburg Ave
Easton, PA 18045-7118

Mailing address

PO Box 3339
Palmer, PA 18043-3339
Phone (610) 253-0760

Other identifiers 1

IdentifierTypeStateIssuer
1007377810003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000214 PA Part B Supplier - Ambulance Service Supplier 5496753774 Practice locations: Bangor, PA; Easton, PA; Stroudsburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0912176Suburban Emergency Medical Services3231 Freemansburg Avenue, Easton, PA 18045Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

3231 Freemansburg Ave
Easton, PA 18045
Phone (610) 253-0760

320 N 1st St
Stroudsburg, PA 18360
Phone (215) 253-0760

1211 N 5th St
Stroudsburg, PA 18360
Phone (570) 420-4183

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1720058464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3339",
            "city": "PALMER",
            "state": "PA",
            "postal_code": "180433339",
            "telephone_number": "610-253-0760",
            "fax_number": "610-253-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 FREEMANSBURG AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457118",
            "telephone_number": "610-253-0760",
            "fax_number": "610-253-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-923-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03191",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "PA",
            "license": "03191",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "03191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007377810003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.