1225010838 NPI number — ON TIME AMBULANCE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225010838 NPI number — ON TIME AMBULANCE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ON TIME AMBULANCE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225010838
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 830774
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19182-2614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-298-9500
Provider Business Mailing Address Fax Number:
908-298-9509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 E HIGHLAND PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSELLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07203-2614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-298-9500
Provider Business Practice Location Address Fax Number:
908-298-9509
Provider Enumeration Date:
11/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SAVELL
Authorized Official First Name:
KRISTI
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
908-917-7602

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590014257 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 8335109 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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