Andrew D Suseno, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

034617 Issued in NY

Practice address

186 E 111TH St Apt 2
New York, NY 10029-2840

Phone

(678) 488-9727

NPI assigned

Jan 4, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1932479292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E 111TH ST APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292840",
            "telephone_number": "678-488-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E 111TH ST APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292840",
            "telephone_number": "678-488-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 95th St",
            "address_2": "NYL William O'Connor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097404",
            "country_code": "US",
            "telephone_number": "718-680-9751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSENO",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "034617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan N Finkelstein, CSW,PC
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• Susan Wallmeyer Acupuncture PC
• Valeria Susanina
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• Susie Chung MD PC
• Erica Suskin, LCSW
• Johanna Suskin
• Carolyn Glasser Susman
• Elizabeth Susman, RN

• Pediatric Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.