Organization Active NPI

John S Suen MD PA

  • Pulmonary Disease Physician
  • Vero Beach, FL
National Provider Identifier
1891982179
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0062461 Issued in FL
Legal business name
JOHN S SUEN MD PA
Practice address
3735 11TH Cir Ste 103
Vero Beach, FL 32960-4884
Phone
(772) 770-4888
Fax
(772) 770-0190
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. John Suen, M.D.NPI 1710987292
Title
Ceo
Phone
(772) 770-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME0062461 FL Primary

Addresses

Primary practice location

3735 11TH Cir Ste 103
Vero Beach, FL 32960-4884

Mailing address

3735 11TH Cir Ste 103
Vero Beach, FL 32960-4884
Phone (772) 770-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000339 FL Part B Supplier - Clinic/Group Practice 3173567559 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

3735 11th Cir
Ste 103
Vero Beach, FL 32960
Phone (772) 226-6855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1891982179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604884",
            "telephone_number": "772-770-4888",
            "fax_number": "772-770-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604884",
            "telephone_number": "772-770-4888",
            "fax_number": "772-770-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S SUEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "SUEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-770-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0062461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.