SUBURBAN MULTISPECIALTY LIMITED, LLC (NPI# 1962803031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962803031 |
| Entity Type | Organization |
| Organization Name | SUBURBAN MULTISPECIALTY LIMITED, LLC |
| Practice Address |
1 Belmont Avenue Suite 416 Bala Cynwyd PA 19004-1607 |
| Practice Telephone | 6106674080 |
| Practice Fax Number | 6106672748 |
| Mailing Telephone | 6106674080 |
| Mailing Fax Number | 6106672748 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | MRS. DINA JEAN DUBROW (PRACTICE MANAGER) |
| Authorized Official Telephone | 6106674080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OS.015962 | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS-009268L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700976404 | Suburban Multispecialty Limited, LLC | Otolaryngology | 1 Belmont Ave, Suite 416, Bala Cynwyd, PA 19004-1617 | 2006-10-13 |
| Street Address |
1 BELMONT AVENUE SUITE 416 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610026 | Hncp PC Michael M Cohen Md | Specialist | 1 Belmont Avenue, Gsb Bldg. Suite 620, Bala Cynwyd, PA 19004 | 2005-06-23 |
| 1760741730 | Oasis Dental, LLC | Clinic/Center | 1 Belmont Avenue, Suite 516, Bala Cynwyd, PA 19004 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932505385 | Olive Branch Medical Center | Family Medicine | 2 Bala Plz Ste 50, Bala Cynwyd, PA 19004-1501 | 2014-11-12 |
| 1851705180 | Yuliya Gombar | Family Medicine | 301 E City Ave Ste 100, Bala Cynwyd, PA 19004-1738 | 2014-06-14 |
| 1851687305 | Megan Catherine Madsen | Family Medicine | 2 Bala Plz Ste Il27, Bala Cynwyd, PA 19004-1508 | 2011-06-23 |
| 1871732818 | Keino J Johnson | Family Medicine | 225 E City Ave Ste 109, Bala Cynwyd, PA 19004-1724 | 2009-02-16 |
| 1366495079 | Marina Yakovevna Sigidin | Family Medicine | 2 Bala Plaza, Suite Il-27, Bala Cynwyd, PA 19004-1501 | 2006-05-17 |
| 1841704202 | Greater Philadelphia Weight Loss and Family Medicine Inc. | Family Medicine | 111 Bala Ave, Bala Cynwyd, PA 19004-3333 | 2017-11-21 |
| 1265957658 | Clifford Pang | Family Medicine | 301 E City Ave Ste 100, Bala Cynwyd, PA 19004-1738 | 2017-08-07 |
| 1285167254 | Craig Ross | Family Medicine | 111 Presidential Blvd, Suite 127, Bala Cynwyd, PA 19004-1008 | 2017-04-06 |
| 1720447485 | Amy Schultz | Family Medicine | 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004-1708 | 2016-02-23 |
| 1356731848 | Mobile Physician Group PC | Family Medicine | 150 Monument Rd, Suite 207-0039, Bala Cynwyd, PA 19004-1702 | 2015-02-04 |
| Find all providers in BALA CYNWYD | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.