Anthony E Niescier (NPI# 1720073299, PAC ID# 1850297953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1720073299 |
| PAC ID by PECOS | 1850297953 |
| Professional Enrollment ID | I20060417000664 |
| Full Name | Anthony E Niescier |
| Organization Legal Name | SUBURBAN MEDICAL GROUP LLC |
| Address |
700 Dekalb St Bridgeport PA 19405-1149 |
| Phone Number | 6102776200 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6204145642 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390116 | SUBURBAN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 Dekalb St, Bridgeport, PA 19405-1149 | 6102776200 | SUBURBAN MEDICAL GROUP LLC |
| Organization Legal Name | SUBURBAN MEDICAL GROUP LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa M Weigand | Nurse Practitioner | Suburban Medical Group LLC | 3055 Ridge Pike, 200 Mercy Primary Care At Eagleville, Eagleville, PA 19403-1411 |
| Catherine E Cahill | General Surgery | Suburban Medical Group LLC | 2705 Dekalb Pike, Suite 309, East Norriton, PA 19401-1852 |
| George R Homa | Family Medicine | Suburban Medical Group LLC | 700 Dekalb St, Bridgeport, PA 19405-1149 |
| Mary Ann Leary | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Jadav M Moradia | Internal Medicine | Suburban Medical Group LLC | 1600 Dempster St, Suite 103, Park Ridge, IL 60068-1171 |
| Jessica R Mayer | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Christen Darlene Sedlak | Physician Assistant | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Elaine G Pendrak | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Mary E Vitucci | Family Medicine | Suburban Medical Group LLC | 2701 Dekalb Pike, 2nd, East Norriton, PA 19401-1820 |
| Dadrie F Baptiste | General Surgery | Suburban Medical Group LLC | 2705 Dekalb Pike, Suite 309, East Norriton, PA 19401-1852 |
| Street Address |
700 DEKALB ST |
| City | BRIDGEPORT |
| State | PA |
| Zip | 19405-1149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R Homa | Family Medicine | Suburban Medical Group LLC | 700 Dekalb St, Bridgeport, PA 19405-1149 |
| City | BRIDGEPORT |
| Zip Code | 19405 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BRIDGEPORT + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Anthony E Niescier.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.