Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063620102 Deactivated / Inactive NPI Male Practitioner

Dr. Sidney Jerome Sussman , MD

Pediatrics • Camden, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sidney Sussman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date April 29, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Sidney Sussman, MD was a registered Pediatrics practicing in Camden, NJ. Throughout an active medical career spanning 16 years, Dr. Sussman provided care at the practice location at 3 COOPER PLZ until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

3 Cooper Plz

Camden, NJ 081031438

Telephone 8563422298
Fax 8569632514
Associated Practice Facility / Clinic
🏢 Soll Eye Pc Of Nj Facility NPI 1821081258

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Camden, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
57 Specialists

Practicing in Camden, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA03432700

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861821738

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3 COOPER PLZ, CAMDEN, NJ 081031438 (Tel: 8563422298)

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Updated Business Mailing Address July 08, 2007

Registered at 7612 COVENTRY AVE, ELKINS PARK, PA 190273405 (Tel: 2156355988)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SIDNEY SUSSMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #25MA03432700 in NJ)

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063620102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 08, 2007
Deactivation Date: April 29, 2023

Mailing Address

7612 Coventry Ave

Elkins Park, PA 190273405

Phone: 2156355988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.