Individual provider Active NPI

Suzanne K.C. Benser, M.D.

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1154536035
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0424730 Issued in PA
Practice address
555 E City Ave Ste 400
Bala Cynwyd, PA 19004-1112
Phone
(610) 668-2188
NPI assigned
May 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0424730 PA Primary

Addresses

Primary practice location

555 E City Ave Ste 400
Bala Cynwyd, PA 19004-1112

Mailing address

555 E City Ave Ste 400
Bala Cynwyd, PA 19004-1112
Phone (610) 668-2188

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000060 PA Practitioner - Psychiatry 3678607017 Practice locations: Bala Cynwyd, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 E City Ave
Suite 400
Bala Cynwyd, PA 19004-1112
Phone (610) 668-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0424730PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1154536035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE STE 400",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041112",
            "telephone_number": "610-668-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE STE 400",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041112",
            "telephone_number": "610-668-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSER",
        "first_name": "SUZANNE",
        "middle_name": "K.C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD0424730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.