Active NPI
Lori A Suflita, MASTERS SPECIAL EDU.
- Specialist
- Middletown, NY
National Provider Identifier
1689100372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 868439981
- Practice address
- 192 Tower Dr Ste 400
Middletown, NY 10941-2057 - Phone
- (845) 238-0114
- NPI assigned
- May 2, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 868439981 | NY | Primary |
Addresses
Primary practice location
192 Tower Dr Ste 400
Middletown, NY 10941-2057
Mailing address
11 Giovanni CT
Monroe, NY 10950-3915
Phone (845) 238-0114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868439981 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ages & Stages , LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Middletown, NY
- NPI 1487830113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1689100372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GIOVANNI CT",
"city": "MONROE",
"state": "NY",
"postal_code": "109503915",
"telephone_number": "845-238-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 TOWER DR STE 400",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109412057",
"telephone_number": "845-238-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFLITA",
"first_name": "LORI",
"middle_name": "A",
"credential": "MASTERS SPECIAL EDU.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "868439981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.