Organization Active NPI

Philly Medical Transportation LLC

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1952137432
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PHILLY MEDICAL TRANSPORTATION LLC
Practice address
380 Red Lion Rd Ste 235
Huntingdon Valley, PA 19006-6451
Phone
(833) 745-2628
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Gerald Wydro, MD
Title
Medical Director
Phone
(267) 228-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

380 Red Lion Rd Ste 235
Huntingdon Valley, PA 19006-6451

Mailing address

643 N Easton Rd
Glenside, PA 19038-5117
Phone (267) 456-2709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204002233 PA Part B Supplier - Ambulance Service Supplier 1153851332 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

380 Red Lion Rd
Ste 235
Huntingdon Vy, PA 19006
Phone (267) 761-7648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1952137432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190385117",
            "telephone_number": "267-456-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RED LION RD STE 235",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066451",
            "telephone_number": "833-745-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLY MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "WYDRO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-228-8202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.