Active NPI
John R. Sussman, M.D.
- Obstetrics & Gynecology Physician
- New Milford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 025996
- Practice address
- 2 Old Park LN
New Milford, CT 06776-2508 - Phone
- (860) 354-9321
- Fax
- (860) 350-9304
- NPI assigned
- Jun 30, 2005
- Last updated
- May 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 025996 | CT | Primary |
Addresses
Primary practice location
2 Old Park LN
New Milford, CT 06776-2508
Mailing address
2 Old Park LN
New Milford, CT 06776-2508
Phone (860) 354-9321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1259969 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Park Lane Rd
Suite A202
New Milford, CT 06776-2445
Phone (860) 354-3584
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025996 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
120 Park Lane Rd
Ste A202
New Milford, CT 06776
Phone (860) 350-9070
50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000
Interoperability endpoints
- jsussman11022@direct.med.uchc.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
CT, Obstetrics & Gynecology
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Obstetrics & Gynecology Physician
- New Milford, CT
- NPI 1750572400
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
dba Sharon Hospital
- General Acute Care Hospital
- Sharon, CT
- NPI 1235131442
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1205833670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 OLD PARK LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762508",
"telephone_number": "860-354-9321",
"fax_number": "860-350-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OLD PARK LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762508",
"telephone_number": "860-354-9321",
"fax_number": "860-350-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "JOHN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "025996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1259969",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
- Robert Christopher Strittmatter, DPT, OCS
- Kim Elizabeth Strom, LMSW
- Sue Malone Physical Therapy LLC
- Susan N Grammatico DNP FNP LLC (Heartwood)
- Susan N Grammatico DNP FNP LLC
- Patrick Joseph Tannone, RPH
- Karen V Tarbell, MD
- Ginger Taylor, A.P.R.N
- Kelly Eileen Teagle, D.O.
- Jonathan Terman, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.