Active NPI
Joan Esther Sussman, PH.D. SLP-CCC
- Speech-Language Pathologist
- Buffalo, NY
National Provider Identifier
1679737746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0069841
- Practice address
- 52 Biomedical Education Building
Buffalo, NY 14214-8016 - Phone
- (716) 829-3980
- Fax
- (716) 829-3974
- NPI assigned
- Jul 17, 2008
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0069841 | NY | Primary |
Addresses
Primary practice location
52 Biomedical Education Building
Buffalo, NY 14214-8016
Mailing address
52 Biomedical Education Building
Buffalo, NY 14214-8016
Phone (716) 829-3980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1864128 | Other | UNITED HEALTHCARE |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0069841 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1679737746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BIOMEDICAL EDUCATION BUILDING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148016",
"telephone_number": "716-829-3980",
"fax_number": "716-829-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 BIOMEDICAL EDUCATION BUILDING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148016",
"telephone_number": "716-829-3980",
"fax_number": "716-829-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "JOAN",
"middle_name": "ESTHER",
"credential": "PH.D. SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0069841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1864128",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.