Individual provider Active NPI

David Suesserman, DC

  • Chiropractor
  • Hempstead, NY
National Provider Identifier
1972599207
Registry record updated Sep 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009397 Issued in NY
Practice address
95 Clinton St
Hempstead, NY 11550-4211
Phone
(516) 992-8196
Fax
(516) 992-8198
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009397 NY Primary

Addresses

Primary practice location

95 Clinton St
Hempstead, NY 11550-4211

Mailing address

310 Woods Ave
Oceanside, NY 11572-2146
Phone (516) 992-8196

Other practice location 1

11212 Jamaica Ave
Richmond Hill, NY 11418-2451
Phone (718) 850-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009397NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care MD PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1972599207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WOODS AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722146",
            "telephone_number": "516-992-8196",
            "fax_number": "516-992-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CLINTON ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504211",
            "telephone_number": "516-992-8196",
            "fax_number": "516-992-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114182451",
            "country_code": "US",
            "telephone_number": "718-850-6577",
            "fax_number": "718-850-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUESSERMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; 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.