Active NPI
Ambulnz PA, LLC
- Ambulance
- King of Prussia, PA
National Provider Identifier
1811552136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMBULNZ PA, LLC
- Practice address
- 154 Hansen Access Rd
King of Prussia, PA 19406-2404 - Phone
- (610) 783-1122
- Fax
- (310) 733-5689
- NPI assigned
- May 2, 2019
- 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
- Robert Mbonye
- Title
- Director of Finance
- Phone
- (585) 278-0502
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
154 Hansen Access Rd
King of Prussia, PA 19406-2404
Mailing address
685 3Rd Ave FL 9
New York, NY 10017-4151
Phone (844) 443-6246
Other practice location 1
380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (518) 888-2261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190927000147 | PA | Part B Supplier - Ambulance Service Supplier | 8022348481 | Practice locations: King of Prussia, PA |
| O20210825003194 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022348481 | Practice locations: King of Prussia, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2172818 | Ambulnz PA, LLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
154 Hansen Access Rd
Kng of Prussa, PA 19406
Phone (610) 783-1122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1811552136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 3RD AVE FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174151",
"telephone_number": "844-443-6246",
"fax_number": "833-907-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 HANSEN ACCESS RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062404",
"telephone_number": "610-783-1122",
"fax_number": "310-733-5689"
}
],
"practiceLocations": [
{
"address_1": "380 N Oxford Valley Rd",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190478304",
"country_code": "US",
"telephone_number": "518-888-2261",
"fax_number": "303-733-5689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMBULNZ PA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-02",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "MBONYE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "585-278-0502"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.