Organization Active NPI

Eastern Regional Emergency Medical Services,LLC

  • Land Ambulance
  • Brackenridge, PA
National Provider Identifier
1881023471
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13022 Issued in PA
Legal business name
EASTERN REGIONAL EMERGENCY MEDICAL SERVICES,LLC
Practice address
863 1St Ave
Brackenridge, PA 15014
Phone
(724) 340-8111
Fax
(724) 340-8118
NPI assigned
Nov 5, 2013
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mrs. Liya Gorberg
Title
Member
Phone
(724) 340-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13022 PA Primary

Addresses

Primary practice location

863 1St Ave
Brackenridge, PA 15014

Mailing address

863 1St Ave Unit B1
Brackenridge, PA 15014-1410
Phone (724) 340-8111

Other practice location 1

78 Tomlinson Rd
Unit B1
Huntingdon Valley, PA 19006-4261
Phone (215) 947-1540

National Provider Directory

National Provider Directory

Locations

863 1st Ave
Brackenridge, PA 15014
Phone (724) 340-8111

863 1st Ave
Unit B1
Brackenridge, PA 15014

78 Tomlinson Rd
#B1
Huntingdon Valley, PA 19006

78 Tomlinson Rd
Unit B1
Huntingdon Valley, PA 19006
Phone (215) 947-1540

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1881023471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 1ST AVE UNIT B1",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141410",
            "telephone_number": "724-340-8111",
            "fax_number": "724-340-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 1ST AVE",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "15014",
            "telephone_number": "724-340-8111",
            "fax_number": "724-340-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Tomlinson Rd",
            "address_2": "Unit B1",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190064261",
            "country_code": "US",
            "telephone_number": "215-947-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTERN REGIONAL EMERGENCY MEDICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "GORBERG",
        "authorized_official_first_name": "LIYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "724-340-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brackenridge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.