Individual provider Active NPI

Sandra Marcela Szuster, DDS

  • Dentist
  • Flushing, NY
National Provider Identifier
1508977935
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046429-1 Issued in NY
Practice address
13317 Sanford Ave Apt LB
Flushing, NY 11355-3609
Phone
(718) 939-9090
Fax
(718) 909-9090
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046429-1 NY Primary

Addresses

Primary practice location

13317 Sanford Ave Apt LB
Flushing, NY 11355-3609

Mailing address

11 Station Rd
Great Neck, NY 11023-2417
Phone (718) 939-9090

Other identifiers 1

IdentifierTypeStateIssuer
01687609MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046429-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David Szuster Psychiatry P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508977935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STATION RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232417",
            "telephone_number": "718-939-9090",
            "fax_number": "718-909-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 SANFORD AVE APT LB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553609",
            "telephone_number": "718-939-9090",
            "fax_number": "718-909-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUSTER",
        "first_name": "SANDRA",
        "middle_name": "MARCELA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046429-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01687609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.