Amy E Suessle, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

259627-1 Issued in NY

Practice address

349 Meeting House LN
Old Town Medical Village
Southampton, NY 11968-5051

Phone

(631) 377-3630

NPI assigned

Jan 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empire Osteopathy, LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Newberry, SC
  • NPI 1316377260
  NPD (past) Authorized official
• New York Institute of Technology

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760003248
  NPD
• New York Institute of Technology

  • Family Medicine Physician
  • Old Westbury, NY
  • NPI 1821048612
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1033414255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "address_2": "123 NORTH SEA ROAD -1560",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119691560",
            "telephone_number": "631-276-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 MEETING HOUSE LN",
            "address_2": "OLD TOWN MEDICAL VILLAGE",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-377-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESSLE",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "259627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen H St.Nicholas, SLP
• Peter Eberhardt Steinert, PTA
• Stephen T Braun DO PLLC
• Stonybrook Southampton Hospital
• Richard L Stumacher, MD
• Sun River Health Inc
• Jessica Rawson Swiatocha, FNP
• Andrea Dominica Taglieri
• Ali Tamsen, MD
• Deborah Tan, DO

• Neuromusculoskeletal Medicine & OMM Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.