Organization Active NPI

Sutera & Jones Surgical Podiatry, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Media, PA
National Provider Identifier
1265411771
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003658L Issued in PA
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

Updated by the provider on Aug 29, 2012

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.