Active NPI
Susanna Willemina Leuntje De Geus, MD PHD
- Surgery Physician
- Boston, MA
National Provider Identifier
1619606365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 292948
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5400 - Phone
- (857) 309-8150
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 292948 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
330 Brookline Ave
Boston, MA 02215-5400
Phone (857) 309-8150
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292948 | MA | MD | Surgery Physician |
Interoperability endpoints
- sdegeus252403@direct.bilh.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1619606365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "857-309-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "857-309-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GEUS",
"first_name": "SUSANNA",
"middle_name": "WILLEMINA LEUNTJE",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "292948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Alecsander Nicolas De Fabrique, DDS
- Sarah De Ferranti, MD
- My-Hanh De Fontaine, NP
- Christina Anne-Josiane De Fontnouvelle, MD
- Luciana De Franco Marcondes Gomes
- Anthony Frank De Giacomo, M.D.,M.S.
- Umberto De Girolami, MD
- Susan Elizabeth De Gruchy, FNP
- Charles De Guzman, MD
- John Paul Ramos De Guzman, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.