Basic Information
| Provider Information | |||||||||
| NPI: | 1821043175 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GINSBERG | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 PINE ST | ||||||||
| Address2: | |||||||||
| City: | NORRISTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194013040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102397100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1700 PINE ST | ||||||||
| Address2: | |||||||||
| City: | NORRISTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194013040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102397100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2006 | ||||||||
| LastUpdateDate: | 05/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25MA11411600 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD420068 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 31712-MD420068 | 01 | PA | HEALTH PARTNERS | OTHER | 0019208640002 | 05 | PA | MEDICAID | 2113990000 | 01 | PA | AMERIHEALTH/INTERCOUNTY | OTHER | 2113990000 | 01 | PA | IBC - PC/KHPE | OTHER | 3190068 | 01 | PA | CIGNA HMO/PPO | OTHER | 3473312 | 01 | PA | AETNA HMO | OTHER | 11302567 | 01 | PA | CAQH ID# | OTHER | 1428825 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 5910118 | 01 | PA | AETNA PPO | OTHER | P00041742 | 01 | PA | RRM | OTHER | 1920867002 | 01 | PA | AMERICHOICE (UHC MA PLAN) | OTHER | 30011545 | 01 | PA | KEYSTONE MERCY | OTHER |