Susan Claire Daly, PA
Individual provider Active NPI Physician Assistant · Philadelphia, PA
NPI 1699090753 · NPPES record last updated Mar 27, 2013
Key facts
- NPI
- 1699090753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA001614L (PA)
- Practice address
- 5501 Old York Rd
4TH Floor
Philadelphia, PA 19141-3018 - Phone
- (215) 456-3930
- Fax
- (215) 456-1432
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520002092 | PA | Practitioner - Physician Assistant | 7810339025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current |
Accepting new patients | |
| Einstein Practice Plan Inc | Current |
Accepting new patients |
Locations
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5501 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-7900
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
Interoperability endpoints
- susan.daly@direct.einstein.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001614L | PA | Yes |
Addresses
Primary practice location
5501 Old York Rd
4TH Floor
Philadelphia, PA 19141-3018
Mailing address
PO Box 8500-8735
Philadelphia, PA 19178-8735
Phone (215) 456-7000
Other providers in Philadelphia, PA
- Gerald Aubrey Daly
- Mary Beryl Daly
- Matthew Daly
- Nicole Daly
- Sueaen Q Daly
- Taylor Daly
- Thomas Gordon Daly
- Catherine Lauren Dalyai
- Kristin Marie Dalzell
- Mausam Rajesh Damani
All providers in Philadelphia, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.