Active NPI
Philly Medical Transportation LLC
- Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1952137432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204002233 | PA | Part B Supplier - Ambulance Service Supplier | 1153851332 | Practice locations: Huntingdon Valley, PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Basic Emergency Medical Technician
- Huntingdon Valley, PA
- NPI 1790511277
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.