Individual provider Active NPI

Susan J Kressly, MD

  • Pediatrics Physician
  • Warrington, PA
National Provider Identifier
1629075908
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD039810E Issued in PA
Practice address
1432 Easton Rd
Suite 3-G
Warrington, PA 18976-2852
Phone
(215) 343-5520
Fax
(215) 343-5521
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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 MD039810E PA Primary

Addresses

Primary practice location

1432 Easton Rd
Suite 3-G
Warrington, PA 18976-2852

Mailing address

1432 Easton Rd
Suite 3-G
Warrington, PA 18976-2852
Phone (215) 343-5520

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039810EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kressly Pediatrics, P.C. Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1629075908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 EASTON RD",
            "address_2": "SUITE 3-G",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762852",
            "telephone_number": "215-343-5520",
            "fax_number": "215-343-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 EASTON RD",
            "address_2": "SUITE 3-G",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762852",
            "telephone_number": "215-343-5520",
            "fax_number": "215-343-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSLY",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD039810E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.