Sankung Papa Susso, EDD.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

13 Ritter Dr
Wappingers Falls, NY 12590-1213

Phone

(845) 518-1369

NPI assigned

Feb 12, 2019

Sex

Male

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

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1487110714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RITTER DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901213",
            "telephone_number": "845-518-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RITTER DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901213",
            "telephone_number": "845-518-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSO",
        "first_name": "SANKUNG",
        "middle_name": "PAPA",
        "name_prefix": "Dr.",
        "credential": "EDD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levia Sullivan
• Surepath Ambulette LLC
• Surinder P Jindal M D P C.
• Lailaa Surita
• Janet Marie Susco, OTR/L
• Taconic Innovations
• Aimee L. Taft, M.S.P.T.
• Yesim Tanyeri, DDS
• TC Hudson Valley Ambulance Corp.
• Allison Tebolt, F.N.P.

• Early Intervention Provider Agency in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.