Active NPI
Mark Plachkov
- Land Ambulance
- Philadelphia, PA
National Provider Identifier
1922834555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- 2424 E York St Ste 100-M
Philadelphia, PA 19125-3026 - Phone
- (445) 304-9050
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary | |
| Non-emergency Medical Transport (VAN) | 343900000X | NU |
Addresses
Primary practice location
2424 E York St Ste 100-M
Philadelphia, PA 19125-3026
Mailing address
2424 E York St Ste 100-M
Philadelphia, PA 19125-3026
Phone (445) 304-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1922834555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 E YORK ST STE 100-M",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253026",
"telephone_number": "445-304-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 E YORK ST STE 100-M",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253026",
"telephone_number": "445-304-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACHKOV",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.