Sugartown Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD425790 Issued in PA

Legal business name

SUGARTOWN PEDIATRICS, LLC

Practice address

4875 W Chester Pike
Newtown Square, PA 19073-2213

Phone

(484) 206-5500

Fax

(484) 206-5505

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Louis M Giangiulio, M.D.NPI 1750386371

Title

Sole Member

Phone

(484) 266-9103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Louis Michael Giangiulio, M.D.

  • Pediatrics Physician
  • Malvern, PA
  • NPI 1750386371
  NPD (past) Authorized official

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1093082463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 HIGHGATE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805846",
            "telephone_number": "484-266-9103",
            "fax_number": "610-540-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732213",
            "telephone_number": "484-206-5500",
            "fax_number": "484-206-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARTOWN PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "GIANGIULIO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "484-266-9103",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD425790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christian R Subbio, MD
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• Taylor Anne Suruskie, DPT
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• Pediatrics Physician in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.