Provider Demographics
NPI:1619065109
Name:ROMED, INC
Entity Type:Organization
Organization Name:ROMED, INC
Other - Org Name:ROMED AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRISTATSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-676-4911
Mailing Address - Street 1:PO BOX 6276
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-6276
Mailing Address - Country:US
Mailing Address - Phone:888-676-4911
Mailing Address - Fax:215-624-4118
Practice Address - Street 1:2860 HEDLEY ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19137-1919
Practice Address - Country:US
Practice Address - Phone:888-676-4911
Practice Address - Fax:215-624-4118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA046009Medicare ID - Type Unspecified