Organization Active NPI

Ambugo

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1861172785
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
AMBUGO
Practice address
111 Buck Rd # 300-13
Huntingdon Valley, PA 19006-1544
Phone
(267) 457-6051
NPI assigned
Jul 25, 2023
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharoon Bruce Sardar
Title
President
Phone
(267) 457-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

111 Buck Rd # 300-13
Huntingdon Valley, PA 19006-1544

Mailing address

111 Buck Rd # 300-13
Huntingdon Valley, PA 19006-1544
Phone (267) 457-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507000626 PA Part B Supplier - Ambulance Service Supplier 0547787293 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

111 Buck Rd
#30013
Huntingdon Valley, PA 19006
Phone (267) 457-6051

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1861172785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BUCK RD # 300-13",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "267-457-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUCK RD # 300-13",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "267-457-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBUGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "SARDAR",
        "authorized_official_first_name": "SHAROON",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-457-6051"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2025; 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.

Verify at the official NPI Registry.