Ronald Sicilia Oral Surgery Assoc LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS018365L Issued in PA

Legal business name

RONALD SICILIA ORAL SURGERY ASSOC LTD

Practice address

5170 Oxford Ave
Phila, PA 19124-2532

Phone

(215) 535-2255

Fax

(215) 288-9376

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald F Sicilia, DMD

Title

President

Phone

(215) 535-2255

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1194734988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 OXFORD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191242532",
            "telephone_number": "215-535-2255",
            "fax_number": "215-288-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 OXFORD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191242532",
            "telephone_number": "215-535-2255",
            "fax_number": "215-288-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SICILIA ORAL SURGERY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-535-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS018365L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0060875000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Karen Rochester, LPN
• Kellyanne Rodriguez
• Susan Kastenhuber Roethke, CRNP
• Brenda Rogers, MD
• Neil Richard Roman, D.C
• Bridget Rooney
• Lauren Sue Rosenberg, MD
• Morton J Rosenberg, RPH
• Bradley Michael Rosenfield, PSY.D.
• Howard Marc Rosner, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Phila, PA
• Providers in Phila, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.