Susanne Bengtsson
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hawthorne, NY
NPI 1194072066 · NPPES record last updated Aug 10, 2012
Key facts
- NPI
- 1194072066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 226 Linda Ave
Hawthorne, NY 10532-2018 - Phone
- (914) 773-7314
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
226 Linda Ave
Hawthorne, NY 10532-2018
Mailing address
30 Pilot St
Apt. 3J
Bronx, NY 10464-1628
Phone (646) 509-5440
NPI Registry JSON
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1194072066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PILOT ST",
"address_2": "APT. 3J",
"city": "BRONX",
"state": "NY",
"postal_code": "104641628",
"telephone_number": "646-509-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 LINDA AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322018",
"telephone_number": "914-773-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGTSSON",
"first_name": "SUSANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
- Diego Bauza
- Kayla Claire Bell
- Tiffany Bell
- Andrew Joseph Bellantoni
- Jessica Belz
- Josue Benjamin
- Anita Bennett
- Beatrice Bernstein
- Laura J Bernstein
- Aemma Soo Bethon
All providers in Hawthorne, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.