Active NPI
Daniel Sussman, PA
- Physician Assistant
- Cortlandt Manor, NY
National Provider Identifier
1346260775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004234-1
- Practice address
- 1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4144 - Phone
- (914) 737-9000
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004234-1 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4144
Mailing address
PO Box 718
Livingston, NJ 07039-0718
Phone (973) 740-0607
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004234-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Physician Assistant | Past | Accepting new patients |
Locations
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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 and National Provider Directory roles.
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- NPI 1629319413
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- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Emergency Medicine Physician
- New York, NY
- NPI 1134211717
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346260775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070390718",
"telephone_number": "973-740-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND RD",
"address_2": "HUDSON VALLEY HOSPITAL CENTER",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674144",
"telephone_number": "914-737-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "DANIEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004234-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.