Organization Active NPI

Susan G. Love DPM

  • Podiatrist
  • Howard Beach, NY
National Provider Identifier
1417073289
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003949-1 Issued in NJ
Legal business name
SUSAN G. LOVE DPM
Practice address
159-05 92ND Street
Howard Beach, NY 11414
Phone
(718) 835-1453
NPI assigned
Mar 22, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Susan G Love, DPM
Title
DPM
Phone
(718) 835-1453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003949-1 NJ Primary

Addresses

Primary practice location

159-05 92ND Street
Howard Beach, NY 11414

Mailing address

15905 92ND St
Howard Beach, NY 11414-3123
Phone (718) 835-1453

Other identifiers 2

IdentifierTypeStateIssuer
480005518OtherNYMEDICARE RAILROAD
00966385MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1417073289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 92ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143123",
            "telephone_number": "718-835-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159-05 92ND STREET",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "718-835-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN G. LOVE DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-835-1453",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "N003949-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480005518",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.