Sergio G. Suarez Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERGIO G. SUAREZ PHYSICIAN PC

Practice address

72 Guy Lombardo Avenue
Suite 1
Freeport, NY 11520-3742

Phone

(516) 377-2727

Fax

(516) 377-8088

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Gabriel Suarez, M.DNPI 1417920091

Title

President

Phone

(516) 377-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Suarez Family Medicine PLLC

  • Family Medicine Physician
  • Freeport, NY
  • NPI 1972339851
  NPPES parent name

Practitioners 2

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

• Sergio Gabriel Suarez, MD

  • Internal Medicine Physician
  • Freeport, NY
  • NPI 1417920091
  Medicare reassignment NPD Authorized official
• Diego Suarez, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1427460252
  Medicare reassignment NPD

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1164729794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVE",
            "address_2": "SUITE 1",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-377-2727",
            "fax_number": "516-377-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVENUE",
            "address_2": "SUITE 1",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-377-2727",
            "fax_number": "516-377-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO G. SUAREZ PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-377-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott V. Rankin, M.D., P.C.
• Sean Medical Wellness PLLC
• Marianne Seitz, REGISTERED NURSE
• Mary Semet
• Sensory Playhouse Occupational Therapy PLLC
• Celia Rebeca Sevilla, LMSW
• Atif Shah
• Shaiina Marston
• Hafza Sharieff
• Sarika Sharma

• Internal Medicine Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.