MRS. SUZANNE BUSSETTI (NPI# 1144368465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144368465 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE BUSSETTI |
| Credential | CPNP |
| Practice Address |
620 Columbus Ave Ste 1 New York NY 10024-1458 |
| Mailing Address |
30 Prospect Ave Hackensack NJ 07601-1915 |
| Practice Telephone | 2128744500 |
| Mailing Telephone | 5519965643 |
| Mailing Fax Number | 5519965631 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
2080A0000X | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 26NJ0000560 | 01 |
| NY | LICENSE | F381444 | 01 |
| Street Address |
620 COLUMBUS AVE STE 1 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140029 | Shonda Marcia Corbett | Obstetrics & Gynecology | 620 Columbus Ave, Suite 2, New York, NY 10024-1458 | 2005-08-03 |
| 1326657222 | Shayna Darnell | Nurse Practitioner | 620 Columbus Ave, New York, NY 10024-1459 | 2020-07-27 |
| 1285086694 | Abby Malawer | Audiologist | 620 Columbus Ave, 2nd Floor, New York, NY 10024-1458 | 2016-07-09 |
| 1376927244 | Yana Vertsman | Audiologist | 620 Columbus Ave, 2nd Floor, New York, NY 10024-1458 | 2015-07-10 |
| 1326360678 | Columbus Avenue Medical Professionals, PC | Specialist | 620 Columbus Ave, New York, NY 10024-1458 | 2010-02-26 |
| 1447438346 | Westside Endoscopy Obs Pllc | Internal Medicine | 620 Columbus Ave, 2nd Floor, New York, NY 10024-1458 | 2008-02-04 |
| 1457533077 | Payel Gupta | Allergy & Immunology | 620 Columbus Ave, 2nd Floor, New York, NY 10024-1458 | 2007-12-05 |
| 1184818163 | Dreamscape Anesthesia Services, PC | Anesthesiology | 620 Columbus Ave, Second Floor, New York, NY 10024-1458 | 2007-08-31 |
| 1306962881 | Westside Pediatrics PC | Clinic/Center | 620 Columbus Ave, Ste 1, New York, NY 10024-1458 | 2007-03-22 |
| 1871628123 | Lia M Album | Pediatrics | 620 Columbus Ave, Ste 1, New York, NY 10024-1458 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346549128 | Risa Laurel Fridy | Pediatrics | 14 E 90th St # 1b, New York, NY 10128-0671 | 2011-03-20 |
| 1275766578 | Susan Spear | Pediatrics | 225 W 83rd St Apt 14f, New York, NY 10024-4960 | 2009-09-02 |
| 1952554404 | Lawrence Christopher Sullivan | Pediatrics | 346 W 22nd St Apt 3, New York, NY 10011-2670 | 2008-10-28 |
| 1043428204 | Valentin Pardo Jovellanos | Pediatrics | 20 Sherman Ave, New York, NY 10040-1654 | 2007-05-20 |
| 1336366756 | Dilia M Castanos | Pediatrics | 616 W 184th St, New York, NY 10033-3908 | 2007-04-19 |
| 1285768622 | Michael Rosenbaum | Pediatrics | 450 West End Avenue, Suite #1e, New York, NY 10024 | 2007-03-16 |
| 1275687444 | Diane Stumpf-koster | Pediatrics | 600 W 168th St, New York, NY 10032-3722 | 2007-01-23 |
| 1457405995 | Flor S De La Cadena | Pediatrics | 160 Wadsworth Ave, Suite #1, New York, NY 10033-3821 | 2007-01-22 |
| 1730239948 | Luis Cesar Ninaortega | Pediatrics | 23 East 10 St. Apt. 216, Apt. 216, New York, NY 10003 | 2007-01-11 |
| 1417015116 | Lara Gordon | Pediatrics | 215 E 79th St, New York, NY 10021-0847 | 2006-12-05 |
| Find all providers in NEW YORK | ||||
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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.