Organization Active NPI

Midlantic Medical Transport, Inc.

  • Ambulance
  • Philadelphia, PA
National Provider Identifier
1881649739
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
05002 Issued in PA
Legal business name
MIDLANTIC MEDICAL TRANSPORT, INC.
Practice address
5512 N Front St
Philadelphia, PA 19120-2921
Phone
(215) 224-5100
Fax
(215) 224-1200
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Vincent Dispoto Jr.
Title
Ceo
Phone
(215) 224-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 05002 PA Primary

Addresses

Primary practice location

5512 N Front St
Philadelphia, PA 19120-2921

Mailing address

5512 N Front St
Philadelphia, PA 19120-2921
Phone (215) 224-5100

National Provider Directory

National Provider Directory

Locations

5713 N American St
Philadelphia, PA 19120
Phone (215) 224-5100

5512 N Front St
Philadelphia, PA 19120
Phone (215) 224-5100

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1881649739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202921",
            "telephone_number": "215-224-5100",
            "fax_number": "215-224-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202921",
            "telephone_number": "215-224-5100",
            "fax_number": "215-224-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANTIC MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "DISPOTO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-224-5100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.