Suburban Pulmonary Medicine, P. C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SUBURBAN PULMONARY MEDICINE, P. C.

Practice address

1 Bartol Ave
Suite 14
Ridley Park, PA 19078-2214

Phone

(610) 521-1300

Fax

(610) 521-9074

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Jean Pettit

Title

Office Manager

Phone

(610) 521-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2b76d21c-b20a-42c8-bad0-54a58e0ed059/

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin James Hammel

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1356809230
  Medicare reassignment Care Compare group NPD
• Gerald Anthony Meis, D.O

  • Pulmonary Disease Physician
  • Broomall, PA
  • NPI 1801859947
  Medicare reassignment Care Compare group NPD
• Mohammad Azher Sayeed, MD

  • Pulmonary Disease Physician
  • Phila, PA
  • NPI 1700888500
  Medicare reassignment Care Compare group NPD
• Justin Kyle Balliet, PA-C

  • Physician Assistant
  • Broomall, PA
  • NPI 1316427651
  Medicare reassignment
• Richard E Leyman, PA-C

  • Medical Physician Assistant
  • Ridley Park, PA
  • NPI 1386646792
  Medicare reassignment
• Ryan J Townsend, M.D.

  • Pulmonary Disease Physician
  • Marlton, NJ
  • NPI 1194188375

  Single Specialty

  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407876295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARTOL AVE",
            "address_2": "SUITE 14",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782214",
            "telephone_number": "610-521-1300",
            "fax_number": "610-521-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARTOL AVE",
            "address_2": "SUITE 14",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782214",
            "telephone_number": "610-521-1300",
            "fax_number": "610-521-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PULMONARY MEDICINE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-521-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skp1980 PLLC
• Christopher H Snyder, DO
• Andrew J Solan, M.D.
• Starr Associates LLC
• Michael J Stewart, MD
• Suburban Surgical Associates,LTD
• Gregory T Tadduni, M.D.
• Taylor Community Foundation
• Taylor Hospice Holdings, LLC
• Taylor Hospital

• Pulmonary Disease Physician in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.