WALTER SUSSMAN MDPC & GEORGE TUNG MD (NPI# 1104008390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104008390 |
| Entity Type | Organization |
| Organization Name | WALTER SUSSMAN MDPC & GEORGE TUNG MD |
| Practice Address |
2450 Merrick Rd Bellmore NY 11710-5704 |
| Practice Telephone | 5167830300 |
| Practice Fax Number | 5167834048 |
| Mailing Telephone | 5167830300 |
| Mailing Fax Number | 5167834048 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | DAVID TUNG (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5167830300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 162044 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA | 9249627 | 01 |
| NY | HEALTHNET | 1C6509 | 01 |
| NY | AETNA | 2144535 | 01 |
| NY | OXFORD | AS851 | 01 |
| NY | BLUE CROSS BLUE SHIELD | GT018F5110 | 01 |
| NY | MEDICARE RAILROAD | 180014063 | 01 |
| NY | GHI | 2598669 | 01 |
| NY | AETNA | 737803 | 01 |
| Street Address |
2450 MERRICK RD |
| City | BELLMORE |
| State | NY |
| Zip Code | 11710-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891136719 | Stephanie Tin | Optometrist | 2450 Merrick Rd, Bellmore, NY 11710-5704 | 2013-07-08 |
| 1235304510 | Sing Your Li | Ophthalmology | 2450 Merrick Rd, Bellmore, NY 11710-5704 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705761 | Marina Argueta | Behavioral Analyst | 2631 Merrick Road Suite 302, Bellmore, NY 11710 | 2019-08-13 |
| 1306328760 | Stephen John Harding | Behavioral Analyst | 2631 Merrick Rd Suite 302, Bellmore, NY 11710 | 2018-09-02 |
| 1700363314 | Joan Iannotta | Behavioral Analyst | 2459 Lefferts Pl, Bellmore, NY 11710 | 2018-07-26 |
| 1679059554 | Tara Ann Donlon | Counselor | 8 Whitman Ave, Bellmore, NY 11710 | 2018-07-13 |
| 1730676511 | Tanya Spitznagel | Physical Therapy Assistant | 2665 Natta Blvd, Bellmore, NY 11710 | 2018-04-17 |
| 1992208193 | Casey A Faulkner | Art Therapist | 2734 Judith Drive, Bellmore, NY 11710 | 2018-03-14 |
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1992203756 | Sheryl Ackerman | Specialist/Technologist, Other | 2465 Shelly Court, Bellmore, NY 11710 | 2018-01-26 |
| 1578082491 | Toyin Olorunnishola | Behavioral Analyst | A and J Behavioral Health, Inc, Suite 302, Bellmore, Ny, NY 11710 | 2017-09-12 |
| 1346779782 | Official Bbl Pillow | Durable Medical Equipment & Medical Supplies | 2881 Bellmore Ave, Bellmore, NY 11710 | 2017-06-08 |
| Find all providers in zip 11710 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235304510 | Sing Your Li | Ophthalmology | 2450 Merrick Rd, Bellmore, NY 11710-5704 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.