Organization Active NPI

Susan B. Ragonesi M.D. P.C.

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1659536738
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD030257E Issued in PA
Legal business name
SUSAN B. RAGONESI M.D. P.C.
Practice address
2527 S Broad St
Philadelphia, PA 19148-4309
Phone
(215) 755-4640
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Susan B Ragonesi, M.D.
Title
Doctor
Phone
(215) 755-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD030257E PA Primary

Addresses

Primary practice location

2527 S Broad St
Philadelphia, PA 19148-4309

Mailing address

2527 S Broad St
Philadelphia, PA 19148-4309
Phone (215) 755-4640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1659536738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "215-755-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "215-755-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B. RAGONESI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "RAGONESI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "215-755-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD030257E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.