Individual provider Active NPI

Nicholas Anthony Santella, EMT-B

  • Basic Emergency Medical Technician
  • Upper Darby, PA
National Provider Identifier
1740327246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
161179 Issued in PA
Practice address
84 South Harwood Ave
Upper Darby, PA 19082-5423
Phone
(610) 638-1254
Fax
(610) 876-7068
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 161179 PA Primary

Addresses

Primary practice location

84 South Harwood Ave
Upper Darby, PA 19082-5423

Mailing address

84 South Harwood Ave
Upper Darby, PA 19082-5423
Phone (610) 638-1254

Other identifiers 1

IdentifierTypeStateIssuer
161179OtherPAEMT CERT #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
161179PAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740327246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SOUTH HARWOOD AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825423",
            "telephone_number": "610-638-1254",
            "fax_number": "610-876-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SOUTH HARWOOD AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825423",
            "telephone_number": "610-638-1254",
            "fax_number": "610-876-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELLA",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "EMT-B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "161179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMT CERT #",
            "identifier": "161179",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.