Active NPI
Sutera & Jones Surgical Podiatry, P.C.
- Primary Podiatric Medicine Podiatrist
- Media, PA
National Provider Identifier
1265411771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- SC003658L
- Legal business name
- SUTERA & JONES SURGICAL PODIATRY, P.C.
- Practice address
- 280 N Providence Rd
Upper Level
Media, PA 19063-3527 - Phone
- (610) 566-4383
- Fax
- (610) 566-1856
- NPI assigned
- Jan 12, 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
- Dr. Angelo B Sutera, DPM
- Title
- President
- Phone
- (610) 566-4383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC003658L | PA | Primary |
Addresses
Primary practice location
280 N Providence Rd
Upper Level
Media, PA 19063-3527
Mailing address
280 N Providence Rd
Upper Level
Media, PA 19063-3527
Phone (610) 566-4383
National Provider Directory
National Provider DirectoryLocations
400 Fern Brook Ln
#L
Mount Laurel, NJ 08054
Phone (856) 222-1213
1068 W Baltimore Pike
Ste 3311
Media, PA 19063
Phone (610) 566-4383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1265411771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N PROVIDENCE RD",
"address_2": "UPPER LEVEL",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633527",
"telephone_number": "610-566-4383",
"fax_number": "610-566-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N PROVIDENCE RD",
"address_2": "UPPER LEVEL",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633527",
"telephone_number": "610-566-4383",
"fax_number": "610-566-1856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTERA & JONES SURGICAL PODIATRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "SUTERA",
"authorized_official_first_name": "ANGELO",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-566-4383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC003658L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.