Active NPI
Suburban Surgical Associates,LTD
- Surgery Physician
- Ridley Park, PA
National Provider Identifier
1194765883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SUBURBAN SURGICAL ASSOCIATES,LTD
- Practice address
- 204 East Chester Pike
Ridley Park, PA 19078 - Phone
- (610) 521-4833
- Fax
- (610) 521-2651
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Anne Thompson
- Title
- Practice Manager
- Phone
- (610) 521-4833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | PA | Primary |
Addresses
Primary practice location
204 East Chester Pike
Ridley Park, PA 19078
Mailing address
204 East Chester Pike
Ridley Park, PA 19078
Phone (610) 521-4833
National Provider Directory
National Provider DirectoryLocations
1 Medical Center Blvd
Ste 335
Chester, PA 19013
Phone (610) 521-4833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Ridley Park, PA
- NPI 1154301257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194765883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 EAST CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-521-4833",
"fax_number": "610-521-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 EAST CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-521-4833",
"fax_number": "610-521-2651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN SURGICAL ASSOCIATES,LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "610-521-4833"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.