Walter Sussman MDPC & George Tung MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

162044 Issued in NY

Legal business name

WALTER SUSSMAN MDPC & GEORGE TUNG MD

Practice address

2450 Merrick Rd
Bellmore, NY 11710-5704

Phone

(516) 783-0300

Fax

(516) 783-4048

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

David Tung

Title

Practice Administrator

Phone

(516) 783-0300

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

George Tung MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• George Tung, MD PC

  • Ophthalmology Physician
  • Great Neck, NY
  • NPI 1558566257
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Tung, MD

  • Ophthalmology Physician
  • Great Neck, NY
  • NPI 1346275047
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1104008390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105704",
            "telephone_number": "516-783-0300",
            "fax_number": "516-783-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105704",
            "telephone_number": "516-783-0300",
            "fax_number": "516-783-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER SUSSMAN MDPC & GEORGE TUNG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-783-0300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "162044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9249627",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GT018F5110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180014063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C6509",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2144535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2598669",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "737803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Vitiello, PT,DPT
• Caitlyn Vreeland
• Cori Wagner
• Matthew Austin Wagner
• Andrew Peter Waibel, RPH
• Kyle Steven Walter, OTL/L
• Dana L Walters, DC
• Ethan Wardle
• Nicholas Warner
• Shamar Watson, LMSW

• Ophthalmology Physician in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.