SOUTHEASTERN EMERGENCY MEDICAL SERVICE (NPI# 1578810917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578810917 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN EMERGENCY MEDICAL SERVICE |
| Practice Address |
3855 Heaton Road Huntingdon Valley PA 19006-1803 |
| Practice Telephone | 2153544443 |
| Practice Fax Number | 2153544453 |
| Mailing Telephone | 2153544443 |
| Mailing Fax Number | 2153544453 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | DR. DANIEL JOSEPH PICCILLO (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2153544443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
12036 | PA | Transportation Services |
| Street Address |
3855 HEATON ROAD |
| City | HUNTINGDON VALLEY |
| State | PA |
| Zip Code | 19006-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1407204407 | Jacqueline Russak-loftus | Social Worker | 727 Old Welsh Rd, Huntington Valley, PA 19006 | 2016-05-31 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487083291 | Star Med Ambulance Inc. | Ambulance | 73b Tracey Rd, Huntingdon Valley, PA 19006-4222 | 2013-11-03 |
| 1245574862 | Mercy Care Ambulance Inc | Ambulance | 380 Red Lion Rd Ste 231, Huntingdon Valley, PA 19006-6451 | 2012-11-20 |
| 1205195062 | Aleksandr Kozma | Ambulance | 3103 Philmont Avenue, Suite 350, Huntingdon Valley, PA 19006-4263 | 2012-05-14 |
| 1174892343 | Primestar Ambulance Inc | Ambulance | 2337 Philmont Ave, Suite 99, Huntingdon Valley, PA 19006-6200 | 2011-12-17 |
| 1558638684 | Guardian Angels Ambulance, Inc | Ambulance | 2907 Franks Rd, Huntingdon Valley, PA 19006-4222 | 2011-11-17 |
| 1588949754 | Safety First Ambulance LLC | Ambulance | 85 Tomlinson Rd, Unit G, Huntingdon Valley, PA 19006-4256 | 2011-10-19 |
| 1639477599 | Uni-med Ambulance Inc | Ambulance | 460 Veit Rd, Unit B, Huntingdon Valley, PA 19006-1624 | 2011-03-02 |
| 1437455912 | Rush Ambulance Inc. | Ambulance | 914 Henrietta Ave, Huntingdon Valley, PA 19006-8502 | 2011-02-01 |
| 1720388176 | International Ambulance, Inc. | Ambulance | 3103 Philmont Ave, Huntingdon Valley, PA 19006-4263 | 2010-11-01 |
| 1316256886 | Ambulife Inc. | Ambulance | 78 Tomlinson Road, Unit B, Huntingdon Valley, PA 19006-4244 | 2010-10-01 |
| Find all providers in HUNTINGDON VALLEY | ||||
| City | HUNTINGDON VALLEY |
| Zip Code | 19006 |
Please comment or provide details below to improve the information on SOUTHEASTERN EMERGENCY MEDICAL SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.