DR. BRIAN DIEVENDORF SUSI (NPI# 1922079862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922079862 |
Entity Type | Individual |
Full Name | DR. BRIAN DIEVENDORF SUSI |
Credential | MD |
Practice Address |
411 Jefferson St Unit 2 Hoboken NJ 07030-2606 |
Practice Telephone | 9172322458 |
Mailing Telephone | 9172322458 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2017-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA09314200 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
411 JEFFERSON ST UNIT 2 |
City | HOBOKEN |
State | NJ |
Zip Code | 07030-2606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
Find all providers in zip 07030 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659382349 | Anthony J Kyreakakis | Internal Medicine | 604 Willow Ave, Hoboken, NJ 07030-4175 | 2006-08-10 |
1063428902 | Robert John Leon | Internal Medicine | 129 Washington St Ste 401, Hoboken, NJ 07030-4650 | 2006-07-31 |
1912178989 | Robert J Leon M D P C | Internal Medicine | 129 Washington St, Suite 401, Hoboken, NJ 07030-4657 | 2008-03-18 |
1477690527 | St. Mary Cardiology Associates | Internal Medicine | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2007-01-30 |
1649382540 | Robert Peter Costomiris | Internal Medicine | 331 Grand St, Hoboken, NJ 07030-2719 | 2006-08-31 |
1821106667 | Jagadish V Damle | Internal Medicine | 2 Marine View Plz, Hoboken, NJ 07030-5760 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. BRIAN DIEVENDORF SUSI.
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.