Active NPI
PNP Group LLC
Doing business as Philips Ambulance Service
- Land Ambulance
- Newark, NJ
National Provider Identifier
1790945590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2024
- 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
- Philip Paragas
- Title
- Supervisor
- Phone
- (973) 814-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0902349 | Medicaid | NJ |
Other names 1
- Philips Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090701000507 | NJ | Part B Supplier - Ambulance Service Supplier | 3476604596 | Practice locations: East Orange, NJ; Newark, NJ; Edison, NJ |
National Provider Directory
National Provider DirectoryLocations
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.