Active NPI
Susan Kassutto, M.D.
- Pediatrics Physician
- Yardley, PA
National Provider Identifier
1962657916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD042164E
- Practice address
- 1690 Big Oak Rd
Yardley, PA 19067-6421 - Phone
- (215) 493-1750
- Fax
- (215) 493-1470
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD042164E | PA | Primary |
Addresses
Primary practice location
1690 Big Oak Rd
Yardley, PA 19067-6421
Mailing address
1690 Big Oak Rd
Yardley, PA 19067-6421
Phone (215) 493-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042164E | PA | MD | Pediatrics Physician |
Interoperability endpoints
- susan.kassutto@lbp.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1962657916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 BIG OAK RD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190676421",
"telephone_number": "215-493-1750",
"fax_number": "215-493-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 BIG OAK RD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190676421",
"telephone_number": "215-493-1750",
"fax_number": "215-493-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSUTTO",
"first_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD042164E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.