Organization Active NPI

PNP Group LLC

Doing business as Philips Ambulance Service

  • Land Ambulance
  • Newark, NJ
National Provider Identifier
1790945590
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PNP GROUP LLC
Doing business as
Philips Ambulance Service
Practice address
625 Central Ave
Newark, NJ 07107-1054
Phone
(973) 814-2400
NPI assigned
Jun 15, 2008
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Philip Paragas
Title
Supervisor
Phone
(973) 814-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NJ Primary

Addresses

Primary practice location

625 Central Ave
Newark, NJ 07107-1054

Mailing address

625 Central Ave
Newark, NJ 07107-1054

Other practice location 1

110 Fieldcrest Ave Ste 3
Edison, NJ 08837-3648
Phone (973) 814-2400

Other identifiers 1

IdentifierTypeStateIssuer
0902349MedicaidNJ

Other names 1

  • Philips Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090701000507 NJ Part B Supplier - Ambulance Service Supplier 3476604596 Practice locations: East Orange, NJ; Newark, NJ; Edison, NJ

National Provider Directory

National Provider Directory

Locations

125 Valley Rd
Clifton, NJ 07013
Phone (973) 489-0921

112 S 16th St
East Orange, NJ 07018
Phone (973) 230-9000

625 Central Ave
Newark, NJ 07107
Phone (973) 230-9000

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1790945590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071054",
            "telephone_number": "973-814-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Fieldcrest Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088373648",
            "country_code": "US",
            "telephone_number": "973-814-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PNP GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "PARAGAS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "973-814-2400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0902349",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philips Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.