Brian Dievendorf Susi, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA09314200 Issued in NJ

Practice address

209 Manhattan Ave
Apc C
Union City, NJ 07087-5204

Phone

(917) 232-2458

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• East Coast Spine Joint and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730
  NPD (past)
• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998

  Cardiovascular Disease

  NPD (past)
• University Medical Professionals LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Elizabeth, NJ
  • NPI 1346304664
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1922079862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MANHATTAN AVE",
            "address_2": "APC C",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875204",
            "telephone_number": "917-232-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MANHATTAN AVE",
            "address_2": "APC C",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875204",
            "telephone_number": "917-232-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSI",
        "first_name": "BRIAN",
        "middle_name": "DIEVENDORF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09314200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugarrx Inc
• Sulovari Dental Group LLC
• Summit Diagnostic and Treatment Center,LLC
• Jennifer Sunkin, D.M.D.
• Super Pharmacy Inc
• Peta-Gaye Swaby, MSW, LSW
• Swadharma LLC
• Donna Tabas, CNM
• Jose Oscar Tages Jr., R.P.
• Tailored for Change, LLC

• Cardiovascular Disease Physician in Union City, NJ
• Providers in Union City, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.

Verify at the official NPI Registry.