Northeast First Aid Corps.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05126 Issued in PA

Legal business name

NORTHEAST FIRST AID CORPS.

Practice address

4411 Rhawn St
Philadelphia, PA 19136-2732

Phone

(215) 624-9111

Fax

(215) 331-7711

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert P Berkoff

Title

Administrator

Phone

(215) 624-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• northeast community ambulance Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1912098674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362732",
            "telephone_number": "215-624-9111",
            "fax_number": "215-331-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362732",
            "telephone_number": "215-624-9111",
            "fax_number": "215-331-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FIRST AID CORPS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "BERKOFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-624-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000787065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northeast community ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.