Active NPI
Eric A Runquist, PA-C
- Surgical Physician Assistant
- Langhorne, PA
National Provider Identifier
1285057026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA001381L
- Practice address
- 1201 Newtown-Langhorne Rd
St Mary Medical Center Operating Room
Langhorne, PA 19047-1306 - Phone
- (215) 710-2000
- NPI assigned
- Jan 30, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA001381L | PA | Primary |
Addresses
Primary practice location
1201 Newtown-Langhorne Rd
St Mary Medical Center Operating Room
Langhorne, PA 19047-1306
Mailing address
695 US Highway 46
Ste 400a
Fairfield, NJ 07004-1568
Phone (973) 826-8291
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001381L | PA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1285057026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 US HIGHWAY 46",
"address_2": "STE 400A",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041568",
"telephone_number": "973-826-8291",
"fax_number": "888-972-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NEWTOWN-LANGHORNE RD",
"address_2": "ST MARY MEDICAL CENTER OPERATING ROOM",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471306",
"telephone_number": "215-710-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNQUIST",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-30",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA001381L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.