Anthony M Susinno MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA01095800 Issued in NJ

Legal business name

ANTHONY M SUSINNO MD

Practice address

101 Broad Ave
Box 607
Palisades Park, NJ 07650

Phone

(201) 945-5222

NPI assigned

Jul 29, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony M Susinno

Title

MD

Phone

(201) 945-5222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1245244573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD AVE",
            "address_2": "BOX 607",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-945-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD AVE",
            "address_2": "BOX 607",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-945-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M SUSINNO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SUSINNO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-945-5222"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA01095800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Physical Therapy, P.C. (Palisades Physical Therapy)
• Paula Alves
• DO Young An
• Jiwon An
• Rebekah An
• Anthonys Pharmacy LLC (Anthony's Pharmacy)
• Apex Physical Therapy and Performance PC
• Balance Dizziness Center Inc.
• Bareun Spine Clinic
• Edward R Baron, LCSW, BCD

• Family Medicine Physician in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.