NPIMap

Organization Active NPI

Lifenet Ambulance LLC

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1730452665
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
12003 Issued in PA
Legal business name
LIFENET AMBULANCE LLC
Practice address
10067 Sandmeyer Lane
W 413
Philadelphia, PA 19116-3533
Phone
(267) 898-0059
Fax
(267) 440-0539
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Mustafa Mursalov
Title
President
Phone
(267) 444-5044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 12003 PA Primary

Addresses

Primary practice location

10067 Sandmeyer Lane
W 413
Philadelphia, PA 19116-3533

Mailing address

10067 Sandmeyer Lane
W 413
Philadelphia, PA 19116-3533
Phone (267) 898-0059

National Provider Directory

National Provider Directory

Locations

10067 Sandmeyer Ln
Ste 413
Philadelphia, PA 19116
Phone (267) 898-0059

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1730452665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 SANDMEYER LANE",
            "address_2": "W 413",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163533",
            "telephone_number": "267-898-0059",
            "fax_number": "267-440-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 SANDMEYER LANE",
            "address_2": "W 413",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163533",
            "telephone_number": "267-898-0059",
            "fax_number": "267-440-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MURSALOV",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-444-5044"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "12003",
            "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 Mar 22, 2012; 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.