Theresa Monique Sutton

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9114 Merrick Blvd
Jamaica, NY 11432-5363

Phone

(718) 408-7178

Fax

(718) 408-7179

NPI assigned

Oct 10, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1376324905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325363",
            "telephone_number": "718-408-7178",
            "fax_number": "718-408-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325363",
            "telephone_number": "718-408-7178",
            "fax_number": "718-408-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "THERESA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securereccords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Catholic Charities Brooklyn and Queens",
            "address_1": "91-14 Merrick Blvd Jamaica, NY",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Manager/Care Coordinator in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.