Provider Demographics
NPI:1417044629
Name:N E S WEST
Entity Type:Organization
Organization Name:N E S WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-724-7565
Mailing Address - Street 1:501 BAILY RD
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3103
Mailing Address - Country:US
Mailing Address - Phone:610-532-9444
Mailing Address - Fax:610-532-9911
Practice Address - Street 1:501 BAILY ROAD
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050
Practice Address - Country:US
Practice Address - Phone:610-284-3000
Practice Address - Fax:610-623-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04300341600000X
NJNES02036341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2767477000OtherINDEPENDENCE BLUE CROSS
PA2767477000OtherIBC KEYSTONE HEALTH PLAN I