Michele F Iannuzzi-Sucich, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

227034-1 Issued in NY

Practice address

115 South St
Middletown, NY 10940-6404

Phone

(845) 341-4124

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1114901220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SOUTH ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTH ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406404",
            "telephone_number": "845-341-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUZZI-SUCICH",
        "first_name": "MICHELE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227034-1",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "227034-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4142678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke A Hutchison, DO
• Cortney Hutting
• Joonkyu Hwang, D.D.S.
• Inga Hyatt
• Cecelia Hylton
• Cherif Ibrahim, MD
• Dina Ibrahim, DO
• Ident Dental at Middletown
• Idp Middletown (Cornerstone Dental)
• Katherine L Idrovo, RN

• Geriatric Medicine (Family Medicine) Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.