ANTHONY M SUSINNO MD NPI 1245244573

NPI Information

  • NPI: 1245244573
  • Provider Name: ANTHONY M SUSINNO MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 101 BROAD AVE
    BOX 607
    PALISADES PARK, NJ
    ZIP 07650
  • Phone: (201) 945-5222

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NPI Details

ANTHONY M SUSINNO MD is a family medicine in Palisades Park, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANTHONY M SUSINNO MD NPI is 1245244573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 BROAD AVE
BOX 607
PALISADES PARK, NJ
ZIP 07650
Phone: (201) 945-5222

The provider's authorized official is Anthony M Susinno .
The authorized official title is Md and has the following contact phone number (201) 945-5222.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25MA01095800NEW JERSEYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D06231MEDICARE UPIN

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: 11/21/2025

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