NPIMap

Organization Active NPI

Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1811235724
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEDICAL SERVICES OF SUFFOLK COUNTY PC
Practice address
5800 Ridge Ave
Philadelphia, PA 19128-1737
Phone
(215) 483-9900
NPI assigned
Jan 28, 2013
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Matt Teter
Title
Corporate Secretary
Phone
(833) 507-7972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

5800 Ridge Ave
Philadelphia, PA 19128-1737

Mailing address

7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183

Other practice location 1

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 278-2000

Other practice location 2

501 Bath Rd
Bristol, PA 19007-3190
Phone (215) 785-9200

Other practice location 3

133 Park St
Malone, NY 12953-1243
Phone (518) 483-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922003105 PA Part B Supplier - Clinic/Group Practice 8527209246 Receives reassigned benefits from 66 practitioners
Practice locations: Bristol, PA; Norristown, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1811235724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE HIGHWAY 121 STE 370-374",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701987",
            "telephone_number": "469-557-6183",
            "fax_number": "469-640-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281737",
            "telephone_number": "215-483-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194011820",
            "country_code": "US",
            "telephone_number": "610-278-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073190",
            "country_code": "US",
            "telephone_number": "215-785-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531243",
            "country_code": "US",
            "telephone_number": "518-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF SUFFOLK COUNTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "TETER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "833-507-7972"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "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 9, 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.