DR. PETER SU


Address: 250 Pettit Ave, Suite #1, Bellmore, NY 11710-3657
Phone: 5167831577

DR. PETER SU (NPI# 1225049414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225049414
Entity Type Individual
Full Name DR. PETER SU
Credential M.D.
Practice Address 250 Pettit Ave
Suite #1
Bellmore
NY 11710-3657
Practice Telephone 5167831577
Practice Fax Number 5167831588
Mailing Telephone 5167831577
Mailing Fax Number 5167831588
Enumeration Date 2006-08-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 214785 NY Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02043456 05

Other Providers PETER SU

NPI Name Taxonomy Address Enumeration
1164721627 Peter Shao You Su Physical Medicine & Rehabilitation 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 2011-03-23
1972638856 Peter T Su Dentist 1914 Ocean Ave, San Francisco, CA 94127-2744 2007-02-22
1023503422 Peter Su Behavior Technician 5900 Hollis St Ste X, Emeryville, CA 94608-2008 2018-06-27
1225569205 Peter Su Family Medicine 41540 Winchester Rd, Temecula, CA 92590-4877 2017-03-22
1184664146 Peter Su Family Medicine 1438 Defense Highway, Suite 201, Gambrills, MD 21054 2006-06-07

Office Location

Street Address 250 PETTIT AVE
SUITE #1
City BELLMORE
State NY
Zip Code 11710-3657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972587186 Ralph Carmine Caselnova Internal Medicine 250 Pettit Ave, Ste 4, Bellmore, NY 11710 2005-12-01
1275049801 New York Dialysis Services Inc Clinic/Center 250 Pettit Ave, Bellmore, NY 11710-3657 2017-12-19
1942617014 Chs Physician Partners, PC Internal Medicine 250 Pettit Ave, Bellmore, NY 11710-3657 2014-07-21
1598973901 Personal Touch Physical Medicine & Rehabilitation LLC Physical Medicine & Rehabilitation 250 Pettit Ave, Suite 1, Bellmore, NY 11710-3657 2007-05-18
1447264304 Yevgeny Savransky Internal Medicine 250 Pettit Ave, Bellmore, NY 11710-3657 2006-07-28
1518901370 Nassau Dialysis LLC Clinic/Center 250 Pettit Ave, Bellmore, NY 11710-3657 2006-06-15
1083657464 South Shore Dialysis Inc. - Bellmore Clinic/Center 250 Pettit Ave, Bellmore, NY 11710-3657 2006-06-14
1063485688 Thomas J Pizzuti Radiology 250 Pettit Ave, Bellmore, NY 11710 2006-02-13
1740264969 Gregory Philip Dilimetin Internal Medicine 250 Pettit Ave, Ste 4, Bellmore, NY 11710-3657 2005-12-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407324072 Karen Grimes Specialist 2813 Boundary Rd, Bellmore, NY 11710-4728 2018-11-12
1821539982 Ashley Elizabeth Pappas Specialist 1733 Bellmore Ave, Bellmore, NY 11710 2017-03-09
1194166223 Blake Palagonia Specialist 3019 Timothy Rd, Bellmore, NY 11710-5225 2013-07-17
1811235534 Kristen Sundack Specialist 2988 Len Dr, Bellmore, NY 11710-5206 2013-01-30
1508121955 Angela Villarico Specialist 2556 Legion Street, Bellmore, NY 11710-4905 2012-07-11
1003179391 Dawn Victoria Fishman Specialist 2991 Shore Rd, Bellmore, NY 11710-4830 2012-06-21
1770846263 Mary Beth O'donnell Specialist 610 Hughes St, Bellmore, NY 11710-4003 2012-06-19
1962764035 Sandra Verbsky Specialist 2502 Navy Pl, Bellmore, NY 11710-4813 2012-06-13
1770845042 Jennifer White Specialist 405 Hughes St, Bellmore, NY 11710-4008 2012-06-13
1386905123 Roslyn Alyce Radinsky Specialist 2542 Erick Ct, Bellmore, NY 11710-4901 2012-06-07
Find all providers in BELLMORE

Competitor

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City BELLMORE
Zip Code 11710

Improve Information

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Dataset Information

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.

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