Justus Volunteer Fire Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05039 Issued in PA

Legal business name

JUSTUS VOLUNTEER FIRE COMPANY

Practice address

159 Fieldstone Dr
Scott Township, PA 18411-8812

Phone

(570) 587-4545

NPI assigned

Jan 30, 2007

Last updated

Oct 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Heath G Goldstein, EMT-BASICNPI 1710060306

Title

Recording Secretary

Phone

(570) 840-0703

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath Gary Goldstein, EMT-B

  • Basic Emergency Medical Technician
  • South Abington Township, PA
  • NPI 1710060306
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1750427027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 FIELDSTONE DR",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184118812",
            "telephone_number": "570-587-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 FIELDSTONE DR",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184118812",
            "telephone_number": "570-587-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTUS VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RECORDING SECRETARY",
        "authorized_official_telephone_number": "570-840-0703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-BASIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590002433",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00169499000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce A Biancarelli
• Samantha Marie Calachino
• Matthew Joseph Cowan
• Melissa Govan-Orman, M.S. CCC-SLP
• Erick Paul Knight
• Kayci Ann Koltis, PHARM D
• Madison Macknosky, PA-C
• Maryann Muzzi, MA CCC
• Amanda Perrone, PA-C

• Land Ambulance in Scott Township, PA
• Providers in Scott Township, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.