Sussky Latina Brown, CERTIFIED PHLEBOTOMI

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

415 Union Ave
Rutherford, NJ 07070-1416

Phone

(201) 935-6556

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1962778563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701416",
            "telephone_number": "201-935-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701416",
            "telephone_number": "201-935-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSSKY",
        "middle_name": "LATINA",
        "credential": "CERTIFIED PHLEBOTOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Bielory, M.D.
• Body Mechanix Rehabilitation
• Robert David Brady, DO
• Brittco Inc. (Alpha Physical Therapy Associates)
• Heather A Brosnan, DMD
• David Byron Brozyna, M.D.
• BSL Parent Training & ABA Services
• Neal A Calabrese IV, D.C.
• Callawigs
• Mayck A Calle Moran

• Technician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.