Individual provider Active NPI

Lori A Suflita, MASTERS SPECIAL EDU.

  • Specialist
  • Middletown, NY
National Provider Identifier
1689100372
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
868439981 Issued in NY
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

Updated by the provider on May 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
868439981NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.