Physician Compare National (NPI:1164586988)

HEALTHCARE PROVIDER: DAVID JOEL SUSSMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164586988
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870481690
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040304000931
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUSSMAN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1 HANSON PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 301
	Group Practice or individual's line 2 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112432907
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7187832111
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330194
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y