Organization Active NPI

CJ Systems Aviation Group, Inc

  • Air Ambulance
  • West Mifflin, PA
National Provider Identifier
1740358910
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
028 Issued in SD
Legal business name
CJ SYSTEMS AVIATION GROUP, INC
Practice address
57 Allegheny County Airport
West Mifflin, PA 15122-2674
Phone
(412) 466-2500
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mark Keene
Title
National Director
Phone
(909) 915-2301

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 028 SD Primary
Air Ambulance 3416A0800X 080707 AL
Air Ambulance 3416A0800X 6604829 WI
Land Ambulance 3416L0300X 6604829 WI

Addresses

Primary practice location

57 Allegheny County Airport
West Mifflin, PA 15122-2674

Mailing address

275 Curry Hollow Rd
Suite G-300
Pittsburgh, PA 15236-4631
Phone (412) 653-2185

Other identifiers 6

IdentifierTypeStateIssuer
4993093OtherSDBCBS SOUTH DAKOTA
41361400MedicaidWI
51541040OtherALBCBS ALABAMA
051558884MedicaidAL
41361500MedicaidWI
9020840MedicaidSD

National Provider Directory

National Provider Directory

Locations

371 Flave Pierce Rd
Mobile, AL 36608
Phone (251) 607-9431

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1740358910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CURRY HOLLOW RD",
            "address_2": "SUITE G-300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364631",
            "telephone_number": "412-653-2185",
            "fax_number": "412-653-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ALLEGHENY COUNTY AIRPORT",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222674",
            "telephone_number": "412-466-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ SYSTEMS AVIATION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "SD",
            "license": "028",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "AL",
            "license": "080707",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WI",
            "license": "6604829",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6604829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOUTH DAKOTA",
            "identifier": "4993093",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41361400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "51541040",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051558884",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41361500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020840",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.