Organization Active NPI

City Line Cardiology Associates Inc

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1205874666
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS005160L Issued in PA
Legal business name
CITY LINE CARDIOLOGY ASSOCIATES INC
Practice address
301 E City Line Ave
Suite 240
Bala Cynwyd, PA 19004-1708
Phone
(610) 660-9895
Fax
(610) 660-9755
NPI assigned
Jun 4, 2006
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Eva Placentra-Sesso, D.O.NPI 1770550949
Title
Owner
Phone
(610) 660-9895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS005160L PA Primary

Addresses

Primary practice location

301 E City Line Ave
Suite 240
Bala Cynwyd, PA 19004-1708

Mailing address

301 E City Line Ave
Suite 240
Bala Cynwyd, PA 19004-1708
Phone (610) 660-9895

Other identifiers 6

IdentifierTypeStateIssuer
698534OtherPAHIGHMARK BLUE SHIELD
0109213203OtherPAAMERICHOICE
30291AOtherPAKEYSTONE MERCY
0459499000OtherPAINDEPENDENCE BLUE CROSS
28356OtherPAHEALTH PARTNERS
0010921320006MedicaidPA

National Provider Directory

National Provider Directory

Locations

301 E City Line Ave
Ste 240
Bala Cynwyd, PA 19004
Phone (610) 660-5220

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1205874666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE",
            "address_2": "SUITE 240",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-9895",
            "fax_number": "610-660-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE",
            "address_2": "SUITE 240",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-9895",
            "fax_number": "610-660-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY LINE CARDIOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PLACENTRA-SESSO",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-660-9895",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS005160L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "698534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0109213203",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30291A",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0459499000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "28356",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010921320006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.