Gianna Suyunova MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GIANNA SUYUNOVA MD PLLC

Practice address

18904 Union Tpke FL 1
Fresh Meadows, NY 11366-1862

Phone

(347) 201-5507

Fax

(646) 233-3781

NPI assigned

Jan 23, 2022

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gianna SuyunovaNPI 1790133064

Title

Owner

Phone

(347) 201-5507

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Gianna Suyunova, MD

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1790133064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1811649635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANDAULETTE CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471925",
            "telephone_number": "646-915-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18904 UNION TPKE FL 1",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661862",
            "telephone_number": "347-201-5507",
            "fax_number": "646-233-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANNA SUYUNOVA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "SUYUNOVA",
        "authorized_official_first_name": "GIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-201-5507"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "address_1": "8007 189th St",
            "city": "Hollis",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114231034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• S Gerov, PHARM D.
• Aliza B Gettenberg, DDS
• Eileen Ghastin, LMSW, MSED
• Joyce Gertrude Gholson, DO
• Ghulamullah Shahzad Medical PLLC
• William Gibbs Jr., M.D.
• Jonathan Glickman
• Tanya Gnanaraj, R.N.
• Theodore Alexander Goetz, OTR/L
• Carly Goga, PA-C

• Pediatrics Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.