Provider Type Icon

DR. DAVID JOEL SUSSMAN M.D. NPI 1164586988


NPI Information

NPI: 1164586988
Provider Name: DR. DAVID JOEL SUSSMAN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: TBHC PHYSICIAN SERVICES PC

PECOS Registration: Yes

CLIA Number: 33D0876189

Address:
1 HANSON PL
BROOKLYN, NY
ZIP 11243
Phone: (718) 783-2111
Get Directions

DR. David Joel Sussman, M.D. is an urology in Brooklyn, NY with 50 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. David Joel Sussman, M.D. NPI is 1164586988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1974

The provider's business location address is:

1 HANSON PL
BROOKLYN, NY
ZIP 11243-907
Phone: (718) 783-2111
Fax: (718) 857-4901

The NPI 1164586988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D0876189 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology124363NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10042154OTHERNEW YORKAETNA
2000269400101OTHERNEW YORKHEALTH PLUS
3950321MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
40000712414OTHERNEW YORKAPWU
5KS385OTHERNEW YORKOXFORD
6C12395MEDICARE UPINNEW YORK
7BKX094501OTHERNEW YORKAMERICHOICE
8OC2752OTHERNEW YORKHEALTHNET
900291649MEDICAIDNEW YORK
1025528POTHERNEW YORKHIP
11442012084OTHERNEW YORKRAILROAD MEDICARE
12000000019892OTHERNEW YORKGHI HMO
13119892OTHERNEW YORKWELLCARE
14124363 N01OTHERNEW YORKHIP
150764785OTHERNEW YORKCIGNA
16124363A-21OTHERNEW YORKHEALTHFIRST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.