D & V LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04088 Issued in PA

Legal business name

D & V LLC

Doing business as

Life Line Ambulance

Practice address

9998 Global Rd
Suite #37
Philadelphia, PA 19115-1010

Phone

(215) 464-5433

Fax

(215) 464-2610

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dmitriy Dorotov

Title

Owner

Phone

(215) 464-5433

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Life Line Ambulance Doing business as

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962539429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 GLOBAL RD",
            "address_2": "SUITE #37",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151010",
            "telephone_number": "215-464-5433",
            "fax_number": "215-464-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 GLOBAL RD",
            "address_2": "SUITE #37",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151010",
            "telephone_number": "215-464-5433",
            "fax_number": "215-464-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & V LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DOROTOV",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-464-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR PARTNERS",
            "identifier": "35138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH",
            "identifier": "52857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "35138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3699772",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00228042",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011524760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30019372",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8100459",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICHP",
            "identifier": "Q54652",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0007162000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Line Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Apr 20, 2008; 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.