Organization Active NPI

Pedro a. Suarez, MD

  • Physical Medicine & Rehabilitation Physician
  • Brentwood, NY
National Provider Identifier
1316026321
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
153548 Issued in NY
Legal business name
PEDRO A. SUAREZ, MD
Practice address
5 Wicks Rd
Suite 1B
Brentwood, NY 11717-3508
Phone
(631) 435-2781
Fax
(631) 435-2783
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Pedro Suarez, MDNPI 1558362517
Title
MD
Phone
(631) 435-2781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 153548 NY Primary

Addresses

Primary practice location

5 Wicks Rd
Suite 1B
Brentwood, NY 11717-3508

Mailing address

5 Wicks Rd
Suite 1B
Brentwood, NY 11717-3508
Phone (631) 435-2781

National Provider Directory

National Provider Directory

Locations

5 Wicks Rd
Ste 1B
Brentwood, NY 11717
Phone (631) 435-2781

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1316026321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WICKS RD",
            "address_2": "SUITE 1B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173508",
            "telephone_number": "631-435-2781",
            "fax_number": "631-435-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WICKS RD",
            "address_2": "SUITE 1B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173508",
            "telephone_number": "631-435-2781",
            "fax_number": "631-435-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO A. SUAREZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-435-2781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "153548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.