Susan E Kostenblatt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD028675E Issued in PA

Practice address

4520 Park View Dr
Schnecksville, PA 18078-2552

Phone

(610) 799-4241

Fax

(484) 403-4008

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1912958570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "SUITE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 PARK VIEW DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782552",
            "telephone_number": "610-799-4241",
            "fax_number": "484-403-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTENBLATT",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD028675E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01054104",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "404772",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "080050616",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Kay Klingensmith, M.S.,C.C.C.,SLP
• Daniel Lee Klinger, O.D.
• Joanne Klitsch
• Jessica Korba
• Jill Allison Kostenbader, MA
• Elizabeth Fox Kressin, MA, CCC-SLP/L
• Susan Jean Kucirka, MD
• Ryan Kunkle, ATC
• Andrea Laczo, M.S.
• Sandip Ladani, D.M.D.

• Family Medicine Physician in Schnecksville, PA
• Providers in Schnecksville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.