Active NPI
Suburban Orthopaedics PC
- Orthopaedic Surgery Physician
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SUBURBAN ORTHOPAEDICS PC
- Practice address
- 240 Middletown Blvd
Suite 101D
Langhorne, PA 19047-1832 - Phone
- (215) 750-6700
- Fax
- (215) 750-6706
- NPI assigned
- Jan 26, 2006
- Last updated
- Apr 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Petolillo Jr., DO
- Title
- Owner
- Phone
- (215) 750-6700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
240 Middletown Blvd
Suite 101D
Langhorne, PA 19047-1832
Mailing address
240 Middletown Blvd
Suite 101D
Langhorne, PA 19047-1832
Phone (215) 750-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200044351 | Other | PA | TRAVELERS MEDICARE |
| 989692 | Other | HIGHMARK BS |
National Provider Directory
National Provider DirectoryLocations
402 Middletown Blvd
Ste 216
Langhorne, PA 19047
Phone (215) 750-6700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Langhorne, PA
- NPI 1780684084
-
- Orthopaedic Surgery Physician
- Lebanon, PA
- NPI 1528063591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1043280316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MIDDLETOWN BLVD",
"address_2": "SUITE 101D",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471832",
"telephone_number": "215-750-6700",
"fax_number": "215-750-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MIDDLETOWN BLVD",
"address_2": "SUITE 101D",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471832",
"telephone_number": "215-750-6700",
"fax_number": "215-750-6706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN ORTHOPAEDICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "PETOLILLO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-750-6700",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "200044351",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "989692",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.