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SUBURBAN MEDICAL GROUP LLC
NPI 1710355029
Family Medicine in East Norriton, PA

Active since September 03, 2015CLIA 39D0973448 · Waiver
2701 DEKALB PIKE, EAST NORRITON, PA 19401(610) 278-2002(610) 272-4642 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Aug 24, 2023, Mar 6, 2023 (3 updates tracked since 2023).

About Suburban Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBURBAN MEDICAL GROUP LLC (NPI 1710355029) is a healthcare organization registered as a family medicine in East Norriton, Pennsylvania and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Christopher Doan, Managing Associate General Counsel, as its authorized official.

NPPES Registry Identity

NPI1710355029
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUBURBAN MEDICAL GROUP LLC
Location Address2701 DEKALB PIKEEast Norriton, PA 19401-1820
Mailing Address2701 Dekalb PikeEast Norriton, PA 19401-1820 · (610) 278-2002 · Fax (610) 272-4642
Phone(610) 278-2002
Fax(610) 272-4642
Organization SubpartNo
Authorized OfficialChristopher DoanManaging Associate General Counsel · (310) 259-4706
Enumeration DateSeptember 3, 2015
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1710355029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2701 DEKALB PIKE, East Norriton, PA 19401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0973448

Suburban Medical Group, LLC · East Norriton, PA
Active · expires May 4, 2028
CLIA Number39D0973448
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDr. Jessica J. Mayer
Laboratory Phone(610) 275-7240
Laboratory LocationSuburban Medical Group, LLC2705 Dekalb Pike, Suite 202, East Norriton, PA 19401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAVARIA MUSHTAQ
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Montgomery County (610) 278-2235
NATALIYA LUSHCHAK MD
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Montgomery County (610) 292-6519
PONNU MARIA PAUL
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Montgomery County (610) 292-6519
DR. CARISA ROSE CHAMPION DO, JD, MPH
Surgery
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Montgomery County (727) 510-6593
MUHAMMAD ATIF AMEER
Internal Medicine
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Montgomery County (610) 770-5960
GINO DESANTIS PA-C
Physician Assistant
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Montgomery County (610) 278-2000
PRAGNA KOLETI
Internal Medicine
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Montgomery County (610) 278-2003
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC
General Acute Care Hospital
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Montgomery County (610) 278-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suburban Medical Group LLC's NPI number?

The NPI number for Suburban Medical Group LLC is 1710355029. It was assigned to this organization in the NPPES registry on September 3, 2015.

Where is Suburban Medical Group LLC located?

Suburban Medical Group LLC is located at 2701 Dekalb Pike, East Norriton, PA 19401. The listed phone number is (610) 278-2002.

What is Suburban Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Suburban Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0973448) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suburban Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Suburban Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suburban Medical Group LLC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.