Susan Dong

Primary specialty

PharmacistTaxonomy code 183500000X

License

20054761 Issued in NY

Practice address

6036 Myrtle Ave
Ridgewood, NY 11385-5932

Phone

(718) 497-5190

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1356654099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 STOCKHOLM ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851333",
            "telephone_number": "917-330-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855932",
            "telephone_number": "718-497-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20054761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Ryan Dimartino, CERTIFIED DOULA
• Rubenzon Abdon Dimatulac, RN
• Christopher Paul Distefano, DPT
• Catherine C DO, BS
• Adam T Doan, D.C.
• Vincent John Dorotan
• Doru Buza MD
• Megan Downing
• Dr. Fernandez Dental Office
• Dr. P.Kim Podiatry, P.C.

• Pharmacist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.