Susan Etzi, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

181159 Issued in NY

Practice address

7600 Lexington Club Blvd
Unit B
Delray Beach, FL 33446-3952

Phone

(561) 865-5104

NPI assigned

Apr 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1003081423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 LEXINGTON CLUB BLVD",
            "address_2": "UNIT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 LEXINGTON CLUB BLVD",
            "address_2": "UNIT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463952",
            "telephone_number": "561-865-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETZI",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-26",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NJ",
            "license": "25MA05412700",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "181159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Fern Etengoff, OTR
• Ethos Pathology, Inc
• Ethos Pathology, Inc
• Marie Wilta Etienne
• Phara Etienne, BA
• Eugenio Rodriguez MD PA
• Eva Medical Corp (Expert Care Center)
• Eva Medical Corp (Expert Care Center)
• Lucas Jay Evans, MPH PA-C
• Sharron Denise Evans, ARNP

• Public Health & General Preventive Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.