Anna Suponya Medical Practice, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

229325 Issued in NY

Legal business name

ANNA SUPONYA MEDICAL PRACTICE, PLLC

Practice address

9920 4TH Ave Ste 206
Brooklyn, NY 11209-8328

Phone

(718) 238-8373

Fax

(718) 238-8375

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Anna Suponya, M.D.NPI 1043210669

Title

President

Phone

(718) 238-8373

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Anna Suponya, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1043210669
  Authorized official Same address or phone

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871672980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098328",
            "telephone_number": "718-238-8373",
            "fax_number": "718-238-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098328",
            "telephone_number": "718-238-8373",
            "fax_number": "718-238-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SUPONYA MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUPONYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-8373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "229325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02575588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Lutz Medical PC
• Anna N Krol Physician PC
• Anna S Krayn PHD PC
• Anna Shapiro
• Anna Shostak Medical PC
• Anna Suponya, MD, PC
• Anna Villani LCSW PC
• Annabel Counseling Services LCSW PLLC
• Annacup Inc
• Annada K Das M D P C

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.