Organization Active NPI

Delaware Valley Orthopedic & Spine Center, PC

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1073557682
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DELAWARE VALLEY ORTHOPEDIC & SPINE CENTER, PC
Practice address
5600 Chestnut St
Philadelphia, PA 19139-3232
Phone
(158) 361-5082
Fax
(215) 240-1677
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Mary Anne Suter
Title
HR-Credential
Phone
(215) 836-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PA Primary

Addresses

Primary practice location

5600 Chestnut St
Philadelphia, PA 19139-3232

Mailing address

585 County Line Rd
Radnor, PA 19087-3718
Phone (215) 836-1508

Other practice location 1

3379 Quakerbridge Rd Ste 201
Hamilton, NJ 08619-1269
Phone (215) 836-1508

Other practice location 2

2040 E Allegheny Ave
Philadelphia, PA 19134-3817
Phone (215) 836-1508

Other practice location 3

700 S Henderson Rd
King Of Prussia, PA 19406-3530
Phone (215) 836-1508

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL notsetupyet

National Provider Directory

National Provider Directory

Locations

100 N Presidential Blvd
Fl Third
Bala Cynwyd, PA 19004
Phone (610) 664-2100

12000 Bustleton Ave
Ste 206
Philadelphia, PA 19116
Phone (215) 677-2076

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1073557682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 COUNTY LINE RD",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190873718",
            "telephone_number": "215-836-1508",
            "fax_number": "215-240-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393232",
            "telephone_number": "158-361-5082",
            "fax_number": "215-240-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3379 Quakerbridge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086191269",
            "country_code": "US",
            "telephone_number": "215-836-1508",
            "fax_number": "215-240-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191343817",
            "country_code": "US",
            "telephone_number": "215-836-1508",
            "fax_number": "215-240-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Henderson Rd",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063530",
            "country_code": "US",
            "telephone_number": "215-836-1508",
            "fax_number": "215-240-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELAWARE VALLEY ORTHOPEDIC & SPINE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "SUTER",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "HR-CREDENTIAL",
        "authorized_official_telephone_number": "215-836-1508",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "notsetupyet",
            "affiliation": "N",
            "address_1": "585 County Line Rd",
            "city": "Radnor",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190873718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.