Provider Demographics
NPI:1982904967
Name:NEWTOWN EMS, INC
Entity type:Organization
Organization Name:NEWTOWN EMS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-968-3500
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-0252
Mailing Address - Country:US
Mailing Address - Phone:215-968-3500
Mailing Address - Fax:215-968-9134
Practice Address - Street 1:2651 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1569
Practice Address - Country:US
Practice Address - Phone:215-968-3500
Practice Address - Fax:215-968-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA052293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025425100001Medicaid
198594OtherMEDICARE PROVIDER #