Marius V Suditu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052177 Issued in NY

Practice address

1289 Route 9
Suite 8
Wappingers Falls, NY 12590-4992

Phone

(845) 632-6613

Fax

(845) 632-6614

NPI assigned

Aug 12, 2006

Last updated

Apr 13, 2016By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Marius V Suditu DDS PC

  • General Practice Dentistry
  • Wappingers Falls, NY
  • NPI 1114262227
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1588676274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 9",
            "address_2": "SUITE 8",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904992",
            "telephone_number": "845-546-1114",
            "fax_number": "845-632-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 9",
            "address_2": "SUITE 8",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904992",
            "telephone_number": "845-632-6613",
            "fax_number": "845-632-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDITU",
        "first_name": "MARIUS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandradeen Ann-Marie Stewart
• Susan Kleinfeld Stoller, LCSW
• Sharon C. Strack, LCSWR
• Suzanne M Straebler, APRN
• Arlene Suarez
• Levia Sullivan
• Surepath Ambulette LLC
• Surinder P Jindal M D P C.
• Lailaa Surita
• Janet Marie Susco, OTR/L

• General Practice Dentistry in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.