Susama Verma MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

241756 Issued in NY

Legal business name

SUSAMA VERMA MD PLLC

Practice address

1816 Erie Blvd E
Ste B
Syracuse, NY 13210-1230

Phone

(315) 469-2700

Fax

(315) 469-4300

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Susama Verma, MD

Title

Owner

Phone

(315) 469-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1215295282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 ERIE BLVD E",
            "address_2": "STE B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101230",
            "telephone_number": "315-469-2700",
            "fax_number": "315-469-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 ERIE BLVD E",
            "address_2": "STE B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101230",
            "telephone_number": "315-469-2700",
            "fax_number": "315-469-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAMA VERMA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "SUSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-469-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "241756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carol A Sustache, LPN
• Stefanie Nicole Sutherland, PA-C
• Johanna L. Sutter, LMSW
• Kerry Sutterby, FNP-C

• Neurology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.