Vishal Suri, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50-057390 Issued in NY

Practice address

371 Star St
East Meadow, NY 11554-3308

Phone

(516) 817-6292

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487096566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 STAR ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543308",
            "telephone_number": "516-817-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Jerusalem Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117583315",
            "country_code": "US",
            "telephone_number": "516-541-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURI",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50-057390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahad Sultan, NP
• Jasmine Sundri
• Maria Carmel Sungamendoza, PT, DPT
• Mini Sunil Abraham, PT
• Krystyn Michelle Suppa, MD
• Rhona S Susser, MD
• Yusuf Syed
• Fairoz Syeda, LCSW
• Marialice D Szpigel, MA CCC SLP
• Sybil Tabuteau Cherisme

• General Practice Dentistry in East Meadow, NY
• Providers in East Meadow, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.