Organization Active NPI

Sky Medical Transport Inc

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1801149067
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
12051 Issued in PA
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

Updated by the provider on Jul 6, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103006655 0001MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.