Individual provider Active NPI

Barry Sussner, D.P.M.

  • Podiatrist
  • Suffern, NY
National Provider Identifier
1316054760
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002996 Issued in NY
Practice address
222 Route 59 Ste 203
Suffern, NY 10901-5206
Phone
(845) 368-2442
Fax
(845) 368-3775
NPI assigned
Aug 23, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002996 NY Primary

Addresses

Primary practice location

222 Route 59 Ste 203
Suffern, NY 10901-5206

Mailing address

222 Route 59 Ste 203
Suffern, NY 10901-5206
Phone (845) 368-2442

Other identifiers 1

IdentifierTypeStateIssuer
00440533MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031223000844 NY Practitioner - Podiatry 1052219292 Receives reassigned benefits from 1 practitioner
Practice locations: Haverstraw, NY; Monroe, NY; Monsey, NY; Sloatsburg, NY; Suffern, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Route 59
Suite 203
Suffern, NY 10901-5206
Phone (845) 368-2442

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

785 State Route 17M
Monroe, NY 10950-2623
Phone (845) 782-3000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions1-10
Removal of nail tissue1389
Removal or shaving of skin growth554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002996NYMDMental Health Counselor
N002996NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Sussner DPM Podiatrist CurrentSince Aug 1, 1979 Accepting new patients
Fountainview at College Rd PastSince Jun 14, 2020 Accepting new patients
BSD PT OT Services PLLC PastSince Aug 1, 2020 Accepting new patients
On-Site Psychological Services PC PastSince Mar 1, 2020 Accepting new patients

Locations

785 State Route 17M
Monroe, NY 10950
Phone (845) 356-2900

222 Route 59
Ste 203
Suffern, NY 10901
Phone (845) 357-1976

222 Route 59
Ste 305
Suffern, NY 10901
Phone (845) 368-2442

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1316054760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015206",
            "telephone_number": "845-368-2442",
            "fax_number": "845-368-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015206",
            "telephone_number": "845-368-2442",
            "fax_number": "845-368-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSNER",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.