GENESIS MEDICAL TRANSPORT (NPI# 1598036261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598036261 |
| Entity Type | Organization |
| Organization Name | GENESIS MEDICAL TRANSPORT |
| Practice Address |
2180 Margaret St Philadelphia PA 19124-2839 |
| Mailing Address |
1739 Bleigh Ave Philadelphia PA 19111-3829 |
| Practice Telephone | 6103333401 |
| Mailing Telephone | 2679341335 |
| Mailing Fax Number | 2155256122 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | MR. ANDREY PRIKHODKO (PRESIDENT) |
| Authorized Official Telephone | 6103333401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
11051 | PA | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811202658 | Genesis Medical Transport | Non-emergency Medical Transport (VAN) | 2020 Downyflake Lane, Ste 302b, Allentown, PA 18103 | 2010-08-17 |
| 1457520108 | Genesis Medical Transport | Ambulance | 201 Calle 43, Parcela Falu, San Juan, PR 00924-3124 | 2008-02-27 |
| Street Address |
2180 MARGARET ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| 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 |
|---|---|---|---|---|
| 1639735830 | Precise Medical Response | Ambulance | 6118 Glenloch St, Philadelphia, PA 19135-3613 | 2019-05-13 |
| 1922516525 | Phoenix 1 Ems Pllc | Ambulance | 419 Magee Ave, Philadelphia, PA 19111-4618 | 2018-01-17 |
| 1003232893 | White Cross Ambulance Services LLC | Ambulance | 2222 N Broad St, Philadelphia, PA 19132-4501 | 2014-03-17 |
| 1790110658 | Guardian Medical Transport Inc | Ambulance | 5713 N American St, Philadelphia, PA 19120-2365 | 2013-09-11 |
| 1457799413 | Life Alliance, Incorporated | Ambulance | 1946 E Westmoreland St, Philadelphia, PA 19134-2522 | 2013-06-11 |
| 1548603988 | Everest Ambulance LLC | Ambulance | 8420 Bustleton Ave, Philadelphia, PA 19152-1902 | 2013-04-16 |
| 1699014373 | Millennium Medical Transportation, Inc | Ambulance | 9986 Gantry Rd, Rear Bld #b, Philadelphia, PA 19115-1002 | 2013-01-31 |
| 1669720181 | New Trinity Ambulance LLC | Ambulance | 4545 N Front St, Philadelphia, PA 19140-1606 | 2012-08-15 |
| 1467719328 | First Care Ambulance Inc | Ambulance | 10065 Sandmeyer Ln, Warehouse 401, Philadelphia, PA 19116-3515 | 2012-04-17 |
| 1730452665 | Lifenet Ambulance LLC | Ambulance | 10067 Sandmeyer Lane, W 413, Philadelphia, PA 19116-3533 | 2012-02-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on GENESIS MEDICAL TRANSPORT.
| 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.