Anna Suponya, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225329 Issued in NY

Legal business name

ANNA SUPONYA, MD, PC

Practice address

9920 4TH Ave
Suite206
Brooklyn, NY 11209-8333

Phone

(718) 238-8373

Fax

(718) 238-8375

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anna Suponya, MDNPI 1043210669

Title

President

Phone

(718) 238-8373

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Anna Suponya, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1043210669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1366685133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-8373",
            "fax_number": "718-238-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-238-8373",
            "fax_number": "718-238-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SUPONYA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SUPONYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-8373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02575588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna N Krol Physician PC
• Anna S Krayn PHD PC
• Anna Shapiro
• Anna Shostak Medical PC
• Anna Suponya Medical Practice, PLLC
• Anna Villani LCSW PC
• Annabel Counseling Services LCSW PLLC
• Annacup Inc
• Annada K Das M D P C
• Nurjemal Annadurdiyeva

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.