Individual provider Active NPI

Susan Maree Ramirez-Chung, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1366806200
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD467099 Issued in PA
Practice address
2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone
(215) 774-1166
Fax
(215) 279-8383
NPI assigned
Apr 6, 2016
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD467099 PA Primary

Addresses

Primary practice location

2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874

Mailing address

2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone (215) 774-1166

Other practice location 1

437 Fulton St
Philadelphia, PA 19147-3110
Phone (954) 540-2394

Other practice location 2

1600 Rockland Rd Ste 2B80
Wilmington, DE 19803-3607
Phone (302) 651-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503002763 PA Practitioner - Pediatric Medicine 1355640418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Jun 1, 2021 Accepting new patients
Advocare , LLC CurrentSince Jun 1, 2021 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

Interoperability endpoints

  • Direct secure messaging: susan.ramirezchung@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1366806200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166",
            "fax_number": "215-279-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166",
            "fax_number": "215-279-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191473110",
            "country_code": "US",
            "telephone_number": "954-540-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Rockland Rd Ste 2B80",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-9823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ-CHUNG",
        "first_name": "SUSAN",
        "middle_name": "MAREE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD467099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.