DR. MARISA YUE-TING SU MD NPI 1578024592

NPI Information

  • NPI: 1578024592
  • Provider Name: DR. MARISA YUE-TING SU, MD
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 W PUTNAM AVE FL 2
    GREENWICH, CT
    ZIP 06830
  • Phone: (877) 925-3637

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NPI Details

DR. Marisa Yue-ting Su, MD is a pediatric orthopaedic surgery orthopaedic surgery in Greenwich, CT. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Marisa Yue-ting Su, MD NPI is 1578024592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W PUTNAM AVE FL 2
GREENWICH, CT
ZIP 06830-937
Phone: (877) 925-3637

The NPI 1578024592 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 enumeration date for this NPI number is 3/31/2019 and was last updated on 9/17/2025.

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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryCSP.0090486CONNECTICUTYes

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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