Active NPI
Edward Sutton Jr.
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057993
- Practice address
- 5501 Old York Road
Einsteinmedical Center Tabor Emergency Physicians
Philadelphia, PA 19141 - Phone
- (215) 456-8037
- Fax
- (215) 456-8502
- NPI assigned
- Dec 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057993 | PA | Primary |
Addresses
Primary practice location
5501 Old York Road
Einsteinmedical Center Tabor Emergency Physicians
Philadelphia, PA 19141
Mailing address
5501 Old York Road
Einstein Medical Center Tabor Emergency Physicians
Philadelphia, PA 19141
Phone (215) 456-8037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057993 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Doylestown Emergency Associates PC | Past | Accepting new patients | |
| Fornance Physician Services, Inc. | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Doylestown, PA
- NPI 1952373011
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Urgent Care Clinic/Center
- Doylestown, PA
- NPI 1316308703
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1801853288
-
- Family Medicine Physician
- Norristown, PA
- NPI 1013997386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1053786319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 OLD YORK ROAD",
"address_2": "EINSTEIN MEDICAL CENTER TABOR EMERGENCY PHYSICIANS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-8037",
"fax_number": "215-456-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK ROAD",
"address_2": "EINSTEINMEDICAL CENTER TABOR EMERGENCY PHYSICIANS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-8037",
"fax_number": "215-456-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "EDWARD",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.