Emmanuel Suissa, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

063047 Issued in NY

Practice address

55 Cornelia St
Plattsburgh, NY 12901-1853

Phone

(518) 566-0600

NPI assigned

Oct 6, 2023

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Helen Weinberg Ortho Group DDS PLLC

  dba Helen Weinberg Ortho Group DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Catskill, NY
  • NPI 1194095844
  NPD (past)
• North Country Pediatric Dentistry PLLC

  dba North Country Pediatric Dentistry

  • Pediatric Dentistry
  • Plattsburgh, NY
  • NPI 1003232463

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1346021326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N. AIRMONT ROAD",
            "address_2": "SUITE 202",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014242",
            "telephone_number": "845-369-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011853",
            "telephone_number": "518-566-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUISSA",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "063047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Stowe, LMHC
• Michelle Straight, CASAC 2
• Katie Leanna Strong
• Nichole Jean Strong, M.A., SLP
• Sydney Sturgen
• Alfred D Sullivan, RPH
• Robert Elliot Sunenblick, MD
• Suny Plattsburgh Nysacac Day
• Suny Plattsburgh Nysadac HCBS
• Korey Supernaw

• Orthodontics and Dentofacial Orthopedics Dentistry in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.