Organization Active NPI

Ambulnz PA, LLC

  • Ambulance
  • King of Prussia, PA
National Provider Identifier
1811552136
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Feb 11, 2025

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)CodeLicenseStatePrimary
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 PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2172818Ambulnz PA, LLC380 Oxford Valley Rd, Langhorne, PA 19047Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.