Active NPI
Sky Medical Transport Inc
- Land Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1801149067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 12051
- Legal business name
- SKY MEDICAL TRANSPORT INC
- Practice address
- 111 Buck Rd Ste 300
Huntingdon Valley, PA 19006-1559 - Phone
- (215) 396-0134
- Fax
- (215) 893-6997
- NPI assigned
- Oct 24, 2012
- 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
- Eduard Zlotnikov
- Title
- Owner
- Phone
- (215) 396-0134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 12051 | PA | |
| Land Ambulance | 3416L0300X | 12051 | PA | Primary |
Addresses
Primary practice location
111 Buck Rd Ste 300
Huntingdon Valley, PA 19006-1559
Mailing address
111 Buck Rd Ste 300
Huntingdon Valley, PA 19006-1559
Phone (215) 396-0134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103006655 0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436140800000",
"number": "1801149067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BUCK RD STE 300",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190061559",
"telephone_number": "215-396-0134",
"fax_number": "215-893-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BUCK RD STE 300",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190061559",
"telephone_number": "215-396-0134",
"fax_number": "215-893-6997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKY MEDICAL TRANSPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-24",
"last_updated": "2015-07-06",
"status": "A",
"authorized_official_last_name": "ZLOTNIKOV",
"authorized_official_first_name": "EDUARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-396-0134"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "12051",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "12051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103006655 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.