Provider Demographics
NPI:1093916207
Name:PETER A SINAIKO MDPC
Entity Type:Organization
Organization Name:PETER A SINAIKO MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINAIKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-757-6300
Mailing Address - Street 1:940 TOWN CENTER DR
Mailing Address - Street 2:SUITE F-100
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1772
Mailing Address - Country:US
Mailing Address - Phone:215-757-6300
Mailing Address - Fax:215-752-9455
Practice Address - Street 1:940 TOWN CENTER DR
Practice Address - Street 2:SUITE F-100
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1772
Practice Address - Country:US
Practice Address - Phone:215-757-6300
Practice Address - Fax:215-752-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-014996-E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1306827753OtherINDIVIDUAL NPI NUMBER
PA0006781960003Medicaid
PA0006781960003Medicaid
PA168543Medicare ID - Type Unspecified