Organization Active NPI

Philadelphia Premier Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • Jenkintown, PA
National Provider Identifier
1720405178
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PHILADELPHIA PREMIER CARDIOVASCULAR CONSULTANTS LLC
Practice address
261 Old York Rd Ste 309
Jenkintown, PA 19046-3709
Phone
(215) 383-5900
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Sanul Corrielus, MDNPI 1205831716
Title
President
Phone
(215) 383-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

261 Old York Rd Ste 309
Jenkintown, PA 19046-3709

Mailing address

628 Manor Rd
Penn Valley, PA 19072-1617
Phone (215) 383-5900

Other practice location 1

251 E Bringhurst St
Philadelphia, PA 19144-1719
Phone (215) 248-7560

Other practice location 2

7452 Ogontz Ave
Philadelphia, PA 19138-1324
Phone (215) 383-5900

Other practice location 3

3001 Walnut St Fl 4
Philadelphia, PA 19104-3414
Phone (215) 383-5900

Other practice location 4

4031 Sheffield Ave
Philadelphia, PA 19136-3101
Phone (215) 383-5900

Other practice location 5

8125 Stenton Ave
Philadelphia, PA 19150-3530
Phone (215) 248-7560

Other practice location 6

1740 South St Ste 402
Philadelphia, PA 19146-1514
Phone (215) 383-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140710000155 PA Part B Supplier - Clinic/Group Practice 2466677380 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA; Jenkintown, PA

National Provider Directory

National Provider Directory

Locations

6012 Westfield Ave
#1
Pennsauken, NJ 08110

6012 Westfield Ave
Fl 1
Pennsauken, NJ 08110
Phone (856) 966-3466

6012 Westfield Ave
Ste 1
Pennsauken, NJ 08110

601 Park St
Ste 4
Honesdale, PA 18431

261 Old York Rd
Ste 309
Jenkintown, PA 19046
Phone (215) 572-5555

4031 Sheffield Ave
Philadelphia, PA 19136
Phone (215) 331-9940

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1720405178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MANOR RD",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721617",
            "telephone_number": "215-383-5900",
            "fax_number": "855-777-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 309",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-383-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E Bringhurst St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191441719",
            "country_code": "US",
            "telephone_number": "215-248-7560",
            "fax_number": "215-844-2702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7452 Ogontz Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191381324",
            "country_code": "US",
            "telephone_number": "215-383-5900",
            "fax_number": "855-777-8654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Walnut St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043414",
            "country_code": "US",
            "telephone_number": "215-383-5900",
            "fax_number": "215-842-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4031 Sheffield Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191363101",
            "country_code": "US",
            "telephone_number": "215-383-5900",
            "fax_number": "215-842-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8125 Stenton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191503530",
            "country_code": "US",
            "telephone_number": "215-248-7560",
            "fax_number": "215-248-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 South St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191461514",
            "country_code": "US",
            "telephone_number": "215-383-5900",
            "fax_number": "215-842-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILADELPHIA PREMIER CARDIOVASCULAR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "CORRIELUS",
        "authorized_official_first_name": "SANUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-383-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.