Active NPI
Sydney Michael Ross, M.D.
- Pediatrics Physician
- Merion Station, PA
National Provider Identifier
1235398884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD417584
- Practice address
- 726 Beacom LN
Merion Station, PA 19066-1604 - Phone
- (215) 435-1185
- NPI assigned
- Jun 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD417584 | PA | Primary |
Addresses
Primary practice location
726 Beacom LN
Merion Station, PA 19066-1604
Mailing address
726 Beacom LN
Merion Station, PA 19066-1604
Phone (215) 435-1185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD417584 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212796800000",
"number": "1235398884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 BEACOM LN",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661604",
"telephone_number": "215-435-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BEACOM LN",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661604",
"telephone_number": "215-435-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SYDNEY",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-07",
"last_updated": "2008-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD417584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merion Station, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.