Organization Active NPI

Robert Sussman MD PA

  • Obstetrics & Gynecology Physician
  • Boynton Beach, FL
National Provider Identifier
1376688051
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROBERT SUSSMAN MD PA
Practice address
2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Phone
(561) 742-3929
Fax
(561) 742-3931
NPI assigned
Feb 21, 2007
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Mrs. Julie Craig
Title
Office Manager
Phone
(561) 742-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965

Mailing address

2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Phone (561) 742-3929

Other identifiers 3

IdentifierTypeStateIssuer
274611501MedicaidFL
274611503MedicaidFL
274611500MedicaidFL

National Provider Directory

National Provider Directory

Locations

7301A W Palmetto Park Rd
Ste 200B
Boca Raton, FL 33433
Phone (561) 394-4473

10301 Hagen Ranch Rd
Ste 270
Boynton Beach, FL 33437
Phone (561) 742-8446

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1376688051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357965",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357965",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SUSSMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-742-3929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274611501",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274611503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274611500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.