Susmita Parab

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036662 Issued in PA

Practice address

875 Main St
Darby, PA 19023-2105

Phone

(610) 534-0300

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467506295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "610-534-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAB",
        "first_name": "SUSMITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "036662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiesha M Oliver
• Emmanuel Oluwole
• Justin Eduardo Ordonez Aguilar, MD
• PA Rehab Associates
• Kathryn Rose Paparella
• Aneri Mittal Parikh
• Donna Parizadeh, MD, MPH
• Jin Park, MD
• Abha Bhasker Patel, D.O.
• Aneri Patel, DO

• General Practice Dentistry in Darby, PA
• Providers in Darby, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.