Active NPI
Ashley Olivia Sufalko, CPNP
- Pediatric Nurse Practitioner
- Bensalem, PA
National Provider Identifier
1649612367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP013943
- Practice address
- 2217 Bristol Pike
Bensalem, PA 19020-5720 - Phone
- (215) 638-0555
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 658489-1 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | SP013943 | PA | Primary |
Addresses
Primary practice location
2217 Bristol Pike
Bensalem, PA 19020-5720
Mailing address
16 Jarrett CT
Princeton Junction, NJ 08550-2214
Phone (609) 915-9510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658489-1 | NY | MD | Registered Nurse |
| SP013943 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| True North Medical Group, LLC | Past | Accepting new patients | |
| Jerome H. Horowitz, M.D.,P.C. | Past | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
Interoperability endpoints
- ashley.sufalko@chemed.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1518437474
-
- Pediatrics Physician
- Bensalem, PA
- NPI 1144275447
-
- Family Medicine Physician
- Abington, PA
- NPI 1811477573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1649612367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 JARRETT CT",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085502214",
"telephone_number": "609-915-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 BRISTOL PIKE",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190205720",
"telephone_number": "215-638-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFALKO",
"first_name": "ASHLEY",
"middle_name": "OLIVIA",
"name_prefix": "Miss",
"credential": "CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "658489-1",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP013943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.