Phoenix 1 EMS PLLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PHOENIX 1 EMS PLLC

Practice address

419 Magee Ave
Philadelphia, PA 19111-4618

Phone

(215) 239-3038

Fax

(215) 239-3038

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Rosemary E Von Boden, RN

Title

President

Phone

(215) 239-3038

Specialties & licenses 2

Addresses

Other names 1

• Phoenix 1 EMS Doing business as

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1922516525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MAGEE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114618",
            "telephone_number": "215-239-3038",
            "fax_number": "215-239-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAGEE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114618",
            "telephone_number": "215-239-3038",
            "fax_number": "215-239-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX 1 EMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VON BODEN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-239-3038",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix 1 EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Philogene, MSW,LCSW
• Matthew Miller Philp, MD
• Philpot Care Givers LLC
• Brianna Phipps, LSW
• PHMC Care Clinic
• Phoenix Physical Therapy Rehab Ctr
• Noelle T Phounsavath
• Rishabh Dev Phukan, MD
• Anh T Phung, RPH
• Christopher Phung

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.