Individual provider Active NPI

Jennifer Jin-Kyung Suh, M.D.

  • Pediatrics Physician
  • Hatboro, PA
National Provider Identifier
1558356477
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD424483 Issued in PA
Practice address
483 E County Line Rd
Hatboro, PA 19040
Phone
(215) 441-5670
Fax
(215) 441-5661
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036122267 IL
Pediatrics Physician 208000000X MD424483 PA Primary

Addresses

Primary practice location

483 E County Line Rd
Hatboro, PA 19040

Mailing address

483 E County Line Rd
Hatboro, PA 19040-1204
Phone (215) 441-5670

Other identifiers 3

IdentifierTypeStateIssuer
MD424483OtherPASTATE LICENSE NUMBER
036-122267OtherILSTATE LICENSE NUMBER
01011767630001MedicaidPA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036122267ILMDPediatrics Physician
MD424483PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Philip Jaisohn Memorial Foundation Current Accepting new patients
Lynnfield Pediatrics Pediatrics Past Accepting new patients
Hatboro Pediatrics, PC Pediatrics PastSince Apr 27, 2021 Accepting new patients
Lynnfield Pediatrics, LLC Past Accepting new patients

Locations

6705 Old York Rd
Philadelphia, PA 19126
Phone (215) 224-2000

Interoperability endpoints

  • Direct secure messaging: drjsuh@hatboropediatrics.opdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1558356477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401204",
            "telephone_number": "215-441-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-441-5670",
            "fax_number": "215-441-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "JENNIFER",
        "middle_name": "JIN-KYUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036122267",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD424483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD424483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-122267",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01011767630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.