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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 214785 | NY | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02043456 | 05 |
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 |
Street Address |
250 PETTIT AVE SUITE #1 |
City | BELLMORE |
State | NY |
Zip Code | 11710-3657 |
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 |
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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
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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.