Individual provider Active NPI

Frank Suppa, D.O

  • Family Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1700199213
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
262705 Issued in NY
Practice address
51-15 Beach Channel Drive
Far Rockaway, NY 11691
Phone
(516) 554-6477
NPI assigned
Jul 26, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 262705 NY Primary

Addresses

Primary practice location

51-15 Beach Channel Drive
Far Rockaway, NY 11691

Mailing address

610 Oceanpoint Ave
Cedarhurst, NY 11516-1301
Phone (516) 554-6477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, WA, TX, FL, PA, CO, KS, ME, WI10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20130524000054 NY Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20211007001223 OH Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20221227001681 WA Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20221229000955 TX Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230127002806 FL Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230131003085 PA Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230202002807 CO Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230204000490 KS Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230512002069 ME Practitioner - Family Practice 5799923199 Reassigns benefits to 1 organization
I20230517000726 WI Practitioner - Family Practice 5799923199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
262705NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners Wisconsin, SC CurrentSince Feb 3, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 19, 2022 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Feb 3, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 19, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 16, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 16, 2022 Accepting new patients
Carbon Health Medical Group of Kansas PA CurrentSince Dec 1, 2022 Accepting new patients
Island Wide Medical Care PLLC CurrentSince Jun 11, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 5, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 19, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Promed Preferred PA 5 Professional Corporation PastSince Jun 1, 2025 Accepting new patients
Healing Edge Medical Group Or Professional Corporation PastSince Feb 1, 2025 Accepting new patients
Promed Preferred VT, PLLC PastSince Jun 1, 2025 Accepting new patients
Renova Specialty Care PC PastSince Jun 1, 2025 Accepting new patients
Promed Preferred WV Professional Corporation PastSince Aug 19, 2025 Accepting new patients
Promed Preferred CT, PC PastSince Jun 1, 2025 Accepting new patients
Promed Preferred NH, PC PastSince Jun 1, 2025 Accepting new patients
Healing Edge Medical Group Ut PLLC PastSince Sep 27, 2024 Accepting new patients
Promed Preferred TN, PC PastSince Jun 1, 2025 Accepting new patients
KMG Medical Group Mo, P.C. Family Medicine Past Accepting new patients
Lev Grinman MD 4 Professional Corporation PastSince Nov 18, 2024 Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Family Medicine Past Accepting new patients
Complete Health Ny Medical PLLC PastSince Aug 20, 2024 Accepting new patients
Promed Preferred MN PLLC PastSince Jun 1, 2025 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

4817 W 119th St
Ste 120
Overland Park, KS 66209
Phone (913) 298-2743

128 State St
Ste 3
Augusta, ME 04330
Phone (860) 270-0485

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

138 Main St
East Rockaway, NY 11518
Phone (516) 584-3188

616 Broadway
Massapequa, NY 11758
Phone (516) 636-5021

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

2019 Welsh Rd
Dresher, PA 19025
Phone (267) 434-1107

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700199213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OCEANPOINT AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161301",
            "telephone_number": "516-554-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-15 BEACH CHANNEL DRIVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "516-554-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPA",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.