NPIMap

Organization Active NPI

Marius V Suditu DDS PC

  • General Practice Dentistry
  • Wappingers Falls, NY
National Provider Identifier
1114262227
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052177 Issued in NY
Legal business name
MARIUS V SUDITU DDS PC
Practice address
1289 Route 9
Suite 8
Wappingers Falls, NY 12590-4992
Phone
(845) 632-6613
Fax
(845) 632-6614
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mr. Marius Suditu, DDSNPI 1588676274
Title
Owner/Provider
Phone
(845) 632-6613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052177 NY Primary

Addresses

Primary practice location

1289 Route 9
Suite 8
Wappingers Falls, NY 12590-4992

Mailing address

1289 Route 9
Suite 8
Wappingers Falls, NY 12590-4992
Phone (845) 632-6613

National Provider Directory

National Provider Directory

Locations

1289 Route 9
Ste 8
Wappingers Falls, NY 12590
Phone (845) 632-6613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1114262227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 9",
            "address_2": "SUITE 8",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904992",
            "telephone_number": "845-632-6613",
            "fax_number": "845-632-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 9",
            "address_2": "SUITE 8",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904992",
            "telephone_number": "845-632-6613",
            "fax_number": "845-632-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIUS V SUDITU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "SUDITU",
        "authorized_official_first_name": "MARIUS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "845-632-6613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.