Active NPI
Sussman OBGYN LLC
- Obstetrics & Gynecology Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SUSSMAN OBGYN LLC
- Practice address
- 2800 S Seacrest Blvd Ste 220
Boynton Beach, FL 33435-7965 - Phone
- (561) 742-3929
- Fax
- (561) 742-3931
- NPI assigned
- May 27, 2020
- Last updated
- May 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Brian Sussman, M.D.
- Title
- President/Owner
- Phone
- (561) 742-3929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2800 S Seacrest Blvd Ste 220
Boynton Beach, FL 33435-7965
Mailing address
2800 S Seacrest Blvd Ste 220
Boynton Beach, FL 33435-7965
Phone (561) 742-3929
Other practice location 1
7301A W Palmetto Park Rd Ste 200B
Boca Raton, FL 33433-3466
Phone (561) 394-4473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285656918 | Other | FL | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1070682 | Sussman OBGYN LLC | Certificate of waiver | Jul 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Boynton Beach, FL
- NPI 1285656918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590537600000",
"number": "1588287437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S SEACREST BLVD STE 220",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357965",
"telephone_number": "561-742-3929",
"fax_number": "561-742-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S SEACREST BLVD STE 220",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357965",
"telephone_number": "561-742-3929",
"fax_number": "561-742-3931"
}
],
"practiceLocations": [
{
"address_1": "7301A W Palmetto Park Rd Ste 200B",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334333466",
"country_code": "US",
"telephone_number": "561-394-4473",
"fax_number": "561-394-5997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUSSMAN OBGYN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "561-742-3929",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285656918",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.