Active NPI
Greater Pittston Ambulance
Doing business as Greater Pittston Ambulance & Rescue
- Land Ambulance
- Pittston, PA
National Provider Identifier
1740358423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04187
- Legal business name
- GREATER PITTSTON AMBULANCE
- Doing business as
- Greater Pittston Ambulance & Rescue
- Practice address
- 83 S Main St
Pittston, PA 18640-1700 - Phone
- (570) 654-2525
- NPI assigned
- Dec 1, 2006
- Last updated
- Oct 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Roman
- Title
- President
- Phone
- (570) 406-8903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04187 | PA | Primary |
Addresses
Primary practice location
83 S Main St
Pittston, PA 18640-1700
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014716080002 | Medicaid | PA | |
| 880086218 | Other | RAILROAD MEDICARE | |
| 807923 | Other | FEDERAL BLACK LUNG |
Other names 1
- Greater Pittston Ambulance & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090917000240 | PA | Part B Supplier - Ambulance Service Supplier | 1254487127 | Practice locations: Pittson, PA; Exeter, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2022336 | Greater Pittston Ambulance | Certificate of waiver | Aug 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
83 S Main St
Pittston, PA 18640
Phone (570) 654-1202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381276800000",
"number": "1740358423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "484-664-2007",
"fax_number": "484-664-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 S MAIN ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186401700",
"telephone_number": "570-654-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER PITTSTON AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2013-10-09",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-406-8903"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "04187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014716080002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "880086218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "807923",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greater Pittston Ambulance & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittston, PA
- Geisinger Wyoming Valley Medical Center (Geisinger Pittston Radiology, a Service of GWV)
- Geisinger Wyoming Valley Medical Center (Geisinger HealthPlex CenterPoint)
- Brittany Gilley, PTA
- Sarah Godfrey
- Grane Hospice Care, Inc.
- Lauren Greenberg
- Kieasha Gregory
- Naki Lynn Gross
- Anthony Christensen Guariglia Jr., PA-C
- Guided Choice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.