Provider Demographics
NPI:1891964219
Name:HOWARD F SUSSMAN DBA NEW PARKWAY EKG READERS INC
Entity Type:Organization
Organization Name:HOWARD F SUSSMAN DBA NEW PARKWAY EKG READERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:SUSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-654-5449
Mailing Address - Street 1:100 NW 170 STREET
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-654-5440
Mailing Address - Fax:305-654-5445
Practice Address - Street 1:100 NW 170 STREET
Practice Address - Street 2:SUITE 405
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169
Practice Address - Country:US
Practice Address - Phone:305-654-5440
Practice Address - Fax:305-654-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL047440100Medicaid
FL90554LOtherBLUE CROSS BLUE SHIELD
FL047440100Medicaid
FL90554LMedicare PIN