Jeff Suh, D.D.S., M.P.H.

Primary specialty

DentistTaxonomy code 122300000X

License

055287 Issued in NY

Practice address

1075 Central Park Ave
Suite 200
Scarsdale, NY 10583-3242

Phone

(914) 713-4999

Fax

(914) 713-8555

NPI assigned

Jul 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1255596987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 200",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-713-4999",
            "fax_number": "914-713-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE 200",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-713-4999",
            "fax_number": "914-713-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055287",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02424900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robina Streja, P.T.,M.S.
• Emma N Striano
• Erin Strollo, PT
• Mia M Strum, PHARM D
• Lara Sugatan, M.S., CCC-SLP, TSSLD
• Deborah Summer, OTR/L
• Kyung Eun Sung, DDS
• Sure Smile, LLC
• Harold I. Sussman, DDS, MSD
• Jeffrey Bruce Sussman, PSY.D.

• Dentist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.