Active NPI
Palmyra Ambulance Assoc Inc
Doing business as Palmyra Cinnaminson Riverton
- Land Ambulance
- Palmyra, NJ
National Provider Identifier
1972709608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PALMYRA AMBULANCE ASSOC INC
- Doing business as
- Palmyra Cinnaminson Riverton
- Practice address
- 125 W Broad St
Palmyra, NJ 08065-1626 - Phone
- (856) 829-0500
- NPI assigned
- Jun 21, 2007
- Last updated
- Apr 2, 2025
- 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
- Danny David Norman Jr.
- Title
- Chief
- Phone
- (856) 296-6302
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | P0311033 | NJ | |
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
125 W Broad St
Palmyra, NJ 08065-1626
Mailing address
PO Box 18533
Pittsburgh, PA 15236-0533
Phone (800) 240-6365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00435522 | Other | NJ | RR MEDICARE |
| 0134961 | Medicaid | NJ |
Other names 1
- Palmyra Cinnaminson Riverton
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Chief@pcrems.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070815000614 | NJ | Part B Supplier - Ambulance Service Supplier | 3274625629 | Practice locations: Palmyra, NJ; Riverside, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2308269 | Palmyra Cinnaminson Riverton EMS | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
125 W Broad St
Palmyra, NJ 08065
Phone (856) 829-0500
14 W Scott St
Riverside, NJ 08075
Phone (609) 261-1002
Interoperability endpoints
- chief@pcrems.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1972709608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18533",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152360533",
"telephone_number": "800-240-6365",
"fax_number": "724-234-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W BROAD ST",
"city": "PALMYRA",
"state": "NJ",
"postal_code": "080651626",
"telephone_number": "856-829-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMYRA AMBULANCE ASSOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "NORMAN",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "856-296-6302",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "P0311033",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00435522",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0134961",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Chief@pcrems.org",
"affiliation": "N",
"endpointDescription": "EMAIL",
"address_1": "125 W Broad St",
"city": "Palmyra",
"state": "NJ",
"country_code": "US",
"postal_code": "080651626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Palmyra Cinnaminson Riverton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Palmyra Cinnaminson Riverton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palmyra, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.