Active NPI
Preethy Cyriac, PA
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051963
- Practice address
- 4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- Apr 28, 2006
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012094 | DE | |
| Physician Assistant | 363A00000X | C0009539 | MD | |
| Physician Assistant | 363A00000X | MA051963 | PA | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Mailing address
2300 Computer Rd
Suite H-39
Willow Grove, PA 19090-1752
Phone (215) 657-5200
Other practice location 1
2300 Computer Rd
suite H-39
Willow Grove, PA 19090-1752
Phone (215) 657-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Evergreen Rd
Pottstown, PA 19464-3143
Phone (610) 323-1800
227 Evergreen Rd
Pottstown, PA 19464-3143
Phone (610) 718-0900
3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (215) 830-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051963 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Geps Physician Group of Pennsylvania PC | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
207 North St
Ste A
Elkton, MD 21921
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005
3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400
125 Medical Campus Dr
Ste 220
Lansdale, PA 19446
Phone (215) 517-1200
1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500
1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005
5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600
800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200
2300 Computer Rd
Ste H39
Willow Grove, PA 19090
Phone (215) 657-5200
1245 Church Rd
Wyncote, PA 19095
Phone (215) 884-9990
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1205893773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COMPUTER RD",
"address_2": "SUITE H-39",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901752",
"telephone_number": "215-657-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [
{
"address_1": "2300 Computer Rd",
"address_2": "suite H-39",
"address_purpose": "LOCATION",
"city": "Willow Grove",
"state": "PA",
"postal_code": "190901752",
"country_code": "US",
"telephone_number": "215-657-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYRIAC",
"first_name": "PREETHY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012094",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009539",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.