Suzanne A Tullon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22527930 Issued in NY

Practice address

15 Ethel LN
Medford, NY 11763-1029

Phone

(631) 872-8695

NPI assigned

Sep 11, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1407005622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ETHEL LN",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631029",
            "telephone_number": "631-872-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ETHEL LN",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631029",
            "telephone_number": "631-872-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLON",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22527930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triange Medical Care, P.C.
• Anna M Trimboli
• Angela Tringone, LCSW
• True Care of Long Island LLC
• Asiaj C Tullon, LPN
• Allison Tyska-Pettersen
• V & B Pharmacy Inc
• Kristina Vaiano, L.P.N.
• Samantha Vallejo, RDN
• Fnu Varsha

• Registered Nurse in Medford, NY
• Providers in Medford, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.