Robert A Susinno

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D02469200 Issued in NJ

Practice address

101 Broad Ave
Box 328
Palisades Park, NJ 07650-0328

Phone

(201) 945-5222

Fax

(201) 945-7876

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3579/brand/1/csg/1/fhir/r4

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.

• Sung Won Lee MD PC

  • Internal Medicine Physician
  • Palisades Park, NJ
  • NPI 1144501362
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528096633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD AVE",
            "address_2": "P.O. BOX 328",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501438",
            "telephone_number": "201-945-5222",
            "fax_number": "201-945-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD AVE",
            "address_2": "BOX 328",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076500328",
            "telephone_number": "201-945-5222",
            "fax_number": "201-945-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSINNO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D02469200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longfellow Song, L AC
• Stem Wellness, LLC
• Jeffrey Suh
• Sung Won Lee MD PC
• Grace Carolina Sung, COTA/L
• Hend Taha, RDN
• TMS Health Center Inc
• Tristate Medical Care PC
• Umdnj
• Juliana A Vasquez, MS.ED

• General Practice Dentistry in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.