NPIMap

Organization Active NPI

Suesserman Chiropractic P.C.

  • Chiropractor
  • Valley Stream, NY
National Provider Identifier
1477954105
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009397-4 Issued in NY
Legal business name
SUESSERMAN CHIROPRACTIC P.C.
Practice address
125 Franklin Ave
Valley Stream, NY 11580-2165
Phone
(516) 967-0397
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Dr. David Suesserman, D.C
Title
Doctor
Phone
(516) 967-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009397-4 NY Primary

Addresses

Primary practice location

125 Franklin Ave
Valley Stream, NY 11580-2165

Mailing address

1211 Harbor Rd
Hewlett, NY 11557-2626
Phone (516) 967-0397

National Provider Directory

National Provider Directory
Tax ID family
Suesserman Chiropractic PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1477954105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HARBOR RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572626",
            "telephone_number": "516-967-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802165",
            "telephone_number": "516-967-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUESSERMAN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "SUESSERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-967-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009397-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.