Suzannah Maynard

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018890 Issued in PA

Practice address

760 Carpenter LN
Philadelphia, PA 19119-3406

Phone

(215) 848-6880

NPI assigned

Oct 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pentahealth, LLC

  • Family Medicine Physician
  • Exton, PA
  • NPI 1639787740
  Medicare reassignment Care Compare group NPD
• Joel S. Goldberg

  • Family Medicine Physician
  • Boothwyn, PA
  • NPI 1972704971
  NPD (past)
• Son Light Pediatrics

  • Primary Care Clinic/Center
  • Willingboro, NJ
  • NPI 1366153447
  NPD (past)
• Son Light Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Willingboro, NJ
  • NPI 1790805869
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Philadelphia Post Acute Partners, LLC

  • Long Term Care Hospital
  • Philadelphia, PA
  • NPI 1427232818

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1427523331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E PALMER AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081222",
            "telephone_number": "215-530-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CARPENTER LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193406",
            "telephone_number": "215-848-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Beverly Rancocas Rd Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080463727",
            "country_code": "US",
            "telephone_number": "609-877-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 Chichester Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Chichester",
            "state": "PA",
            "postal_code": "190613138",
            "country_code": "US",
            "telephone_number": "610-494-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "SUZANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00893400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mayhew
• Caroline Mayk, MS LCGC
• Naomi Mayman, MD
• Maymee'S Home Care LLC
• Margaret Maynard, LCSW
• Josh Mayo
• Geraldine F Mayor, MD
• Jose Ignacio Mayoral, DMD, MPH
• Valerie Sandra Mayorga Huallpa, MD
• Siobhan Mayr

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.