Edmund Deforest Sugzdinis Jr., BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

03-202 Issued in DE

Practice address

3407 S Rockfield Dr
Wilmington, DE 19810-3228

Phone

(302) 229-5216

NPI assigned

Mar 22, 2016

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1558723288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S ROCKFIELD DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103228",
            "telephone_number": "302-229-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 S ROCKFIELD DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103228",
            "telephone_number": "302-229-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGZDINIS",
        "first_name": "EDMUND",
        "middle_name": "DEFOREST",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "DE",
            "license": "03-202",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Internal Medicine Associates, PA
• Suburban Psychiatric Services
• Successworks Unlimited, Inc.
• Raymisha Ozolyn Sudler, PHARMD
• Lisa D'Angelo Sugar, APN
• Jeanette Sukhu, RD
• Saheedat Sulaimon, MD
• Salwa Elizabeth Sulieman, D.O.
• Ava Joan Sulkowski, MS, ATR-P
• Laura Sullivan-Holland, RN

• Hearing Instrument Specialist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Hearing Instrument Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.