Individual provider Active NPI

Steven Sussman, M.D.

  • Obstetrics & Gynecology Physician
  • Lawrenceville, NJ
National Provider Identifier
1043283690
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04092700 Issued in NJ
Practice address
123 Franklin Corner Rd
Suite 214
Lawrenceville, NJ 08648-2526
Phone
(609) 896-1400
Fax
(609) 896-3986
NPI assigned
Feb 13, 2006
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA040927 NJ
Obstetrics & Gynecology Physician 207V00000X MD025682E PA
Obstetrics & Gynecology Physician 207V00000X 25MA04092700 NJ Primary

Addresses

Primary practice location

123 Franklin Corner Rd
Suite 214
Lawrenceville, NJ 08648-2526

Mailing address

123 Franklin Corner Rd
Suite 214
Lawrenceville, NJ 08648-2526
Phone (609) 896-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steven.sussman.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000095 PA Practitioner - Obstetrics/Gynecology 2961397641 Reassigns benefits to 1 organization
I20060403000252 NJ Practitioner - Obstetrics/Gynecology 2961397641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA040927NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

123 Franklin Corner Rd
Ste 214
Lawrenceville, NJ 08648
Phone (609) 537-7200

123 Franklin Corner Rd
Ste 216
Lawrenceville, NJ 08648
Phone (609) 895-6800

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

909 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 504-9090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1043283690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 214",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-1400",
            "fax_number": "609-771-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 214",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-1400",
            "fax_number": "609-896-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA040927",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD025682E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04092700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.sussman.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Franklin Corner Rd",
            "address_2": "Suite 214",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.