Organization Active NPI

Greater Pittston Ambulance

Doing business as Greater Pittston Ambulance & Rescue

  • Land Ambulance
  • Pittston, PA
National Provider Identifier
1740358423
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04187 Issued in PA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014716080002MedicaidPA
880086218OtherRAILROAD MEDICARE
807923OtherFEDERAL BLACK LUNG

Other names 1

  • Greater Pittston Ambulance & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090917000240 PA Part B Supplier - Ambulance Service Supplier 1254487127 Practice locations: Pittson, PA; Exeter, 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
39D2022336Greater Pittston Ambulance83 S Main Street, Pittston, PA 18640Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.