DR. BRIAN DIEVENDORF SUSI MD
NPI 1922079862
Internal Medicine - Cardiovascular Disease in Union City, NJ

Active since January 30, 2006PECOS Enrolled
209 MANHATTAN AVE, APC C, UNION CITY, NJ 07087(917) 232-2458 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Apr 27, 2017 (2 updates tracked since 2017).

About Dr. Brian Dievendorf Susi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN DIEVENDORF SUSI MD (NPI 1922079862) is an individual cardiovascular disease provider in Union City, New Jersey, licensed in New Jersey (25MA09314200) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922079862
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BRIAN DIEVENDORF SUSICredential: MD
Location Address209 MANHATTAN AVE, APC CUnion City, NJ 07087-5204
Mailing Address209 Manhattan Ave, Apc CUnion City, NJ 07087-5204 · (917) 232-2458
Sole ProprietorYes
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1922079862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA09314200
Definition
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.
209 MANHATTAN AVE, Union City, NJ 07087

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brian Dievendorf Susi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Susi's NPI number?

The NPI number for Brian Susi is 1922079862. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Brian Susi located?

Brian Susi practices at 209 Manhattan Ave Apc C, Union City, NJ 07087. The listed phone number is (917) 232-2458.

What is Brian Susi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Susi enrolled in Medicare?

Yes. Brian Susi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Susi was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.