Organization Active NPI

Sukoneck & Wilson P.C.

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1861547341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19574565 Issued in PA
Legal business name
SUKONECK & WILSON P.C.
Practice address
2401 Pennsylvania Ave
Suite 1A8
Philadelphia, PA 19130-3010
Phone
(215) 765-5281
Fax
(215) 765-7334
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lorraine Vargas
Title
Office Manager
Phone
(215) 765-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19574565 PA Primary

Addresses

Primary practice location

2401 Pennsylvania Ave
Suite 1A8
Philadelphia, PA 19130-3010

Mailing address

2401 Pennsylvania Ave
Suite 1A8
Philadelphia, PA 19130-3010
Phone (215) 765-5281

National Provider Directory

National Provider Directory

Locations

2401 Pennsylvania Ave
Ste 1A8
Philadelphia, PA 19130
Phone (215) 481-0441

Practitioners & affiliated clinicians

Practitioners 3

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861547341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 1A8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-765-5281",
            "fax_number": "215-765-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 1A8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-765-5281",
            "fax_number": "215-765-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKONECK & WILSON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-765-5281"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "19574565",
            "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 Aug 22, 2020; 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.