Active NPI
Frank Suppa, D.O
- Family Medicine Physician
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 262705
- Practice address
- 51-15 Beach Channel Drive
Far Rockaway, NY 11691 - Phone
- (516) 554-6477
- NPI assigned
- Jul 26, 2010
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262705 | NY | MD | Family Medicine Physician |
Practice roles
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.
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- Urgent Care Clinic/Center
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- NPI 1295316602
-
- Urgent Care Clinic/Center
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- NPI 1477155331
-
- Urgent Care Clinic/Center
- Bellevue, WA
- NPI 1689249096
-
- Urgent Care Clinic/Center
- Littleton, CO
- NPI 1730781691
-
- Urgent Care Clinic/Center
- Davie, FL
- NPI 1942812763
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1497357396
KS
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1285355248
-
- Internal Medicine Physician
- Alhambra, CA
- NPI 1114742178
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- Urgent Care Clinic/Center
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.