NPIMap

Organization Active NPI

Prime Star a Transportation Inc

Doing business as Prime Star Transportation Inc

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1972939189
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
4210600 Issued in PA
Legal business name
PRIME STAR A TRANSPORTATION INC
Doing business as
Prime Star Transportation Inc
Practice address
27 Tomlinson Rd
114
Huntingdon Valley, PA 19006-4218
Phone
(267) 444-4404
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Davit Phaivishenko
Title
President
Phone
(267) 444-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4210600 PA Primary

Addresses

Primary practice location

27 Tomlinson Rd
114
Huntingdon Valley, PA 19006-4218

Mailing address

27 Tomlinson Rd
114
Huntingdon Valley, PA 19115
Phone (267) 444-4404

Other names 1

  • PRIME STAR TRANSPORTATION INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

27 Tomlinson Rd
#114
Huntingdon Valley, PA 19006
Phone (267) 444-4404

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1972939189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "114",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "267-444-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TOMLINSON RD",
            "address_2": "114",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064218",
            "telephone_number": "267-444-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME STAR A TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "PHAIVISHENKO",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-444-4404"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "4210600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME STAR TRANSPORTATION INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2013; 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.