Organization Active NPI

Palmyra Ambulance Assoc Inc

Doing business as Palmyra Cinnaminson Riverton

  • Land Ambulance
  • Palmyra, NJ
National Provider Identifier
1972709608
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00435522OtherNJRR MEDICARE
0134961MedicaidNJ

Other names 1

  • Palmyra Cinnaminson Riverton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chief@pcrems.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070815000614 NJ Part B Supplier - Ambulance Service Supplier 3274625629 Practice locations: Palmyra, NJ; Riverside, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2308269Palmyra Cinnaminson Riverton EMS125 W Broad St, Palmyra, NJ 08065Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

125 W Broad St
Palmyra, NJ 08065
Phone (856) 829-0500

14 W Scott St
Riverside, NJ 08075
Phone (609) 261-1002

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.