NPIMap

Organization Active NPI

Sussman & Staller MD PA

  • Internal Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1689733693
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUSSMAN & STALLER MD PA
Practice address
150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051
Phone
(305) 654-5440
Fax
(305) 654-5445
NPI assigned
Dec 6, 2006
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
David Romanello
Title
Chief Operating Officer
Phone
(352) 459-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051

Mailing address

150 S Pine Island Rd Ste 200
Plantation, FL 33324-2695
Phone (561) 770-2009

Other practice location 1

8393 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 433-2524

Other practice location 2

9959 Pines Blvd
Pembroke Pines, FL 33024-6177
Phone (954) 433-2524

Other names 1

  • Hygea South Florida, Inc Other name

National Provider Directory

National Provider Directory

Locations

4800 N State Road 7
Ste 103
Lauderdale Lakes, FL 33319
Phone (954) 513-4640

150 NW 168th St
Ste 305
North Miami Beach, FL 33169
Phone (305) 654-5440

1865 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 940-0077

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1689733693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242695",
            "telephone_number": "561-770-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "305-654-5440",
            "fax_number": "305-654-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8393 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517307",
            "country_code": "US",
            "telephone_number": "954-433-2524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9959 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246177",
            "country_code": "US",
            "telephone_number": "954-433-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSSMAN & STALLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "ROMANELLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "352-459-3661"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hygea South Florida, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.