7 SUSAN MEDICAL PC
NPI 1932914553
Internal Medicine in Deer Park, NY

Active since February 11, 2025CLIA 33D2316835 · Waiver
770 GRAND BLVD STE 10, DEER PARK, NY 11729(347) 264-6436(631) 377-5727 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About 7 Susan Medical Pc NPPES

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

7 SUSAN MEDICAL PC (NPI 1932914553), doing business as Live Well Medical Office, is a healthcare organization registered as an internal medicine in Deer Park, New York and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Saiqa Iram, Physician, as its authorized official.

NPPES Registry Identity

NPI1932914553
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name7 SUSAN MEDICAL PC
Location Address770 GRAND BLVD STE 10Deer Park, NY 11729-5725
Mailing Address770 Grand Blvd Ste 10Deer Park, NY 11729-5725 · (347) 264-6436 · Fax (631) 377-5727
Fax(631) 377-5727
Organization SubpartNo
Authorized OfficialSaiqa IramPhysician · (347) 264-6436
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1932914553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
770 GRAND BLVD STE 10, Deer Park, NY 11729

Other Names 1

Doing Business AsLive Well Medical Office

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2316835

7 Susan Medical PC · Deer Park, NY
Active · expires Jan 13, 2027
CLIA Number33D2316835
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorSaiqa Iram
Laboratory Phone(347) 264-6436
Laboratory Location7 Susan Medical PC770 Grand Blvd Unit 10, Deer Park, NY 11729
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
770 GRAND BLVD STE 10
DEER PARK, NY 11729

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 7 Susan Medical PC's NPI number?

The NPI number for 7 Susan Medical PC is 1932914553. It was assigned to this organization in the NPPES registry on February 11, 2025. The provider is doing business as Live well Medical office.

Where is 7 Susan Medical PC located?

7 Susan Medical PC is located at 770 Grand Blvd Ste 10, Deer Park, NY 11729. The listed phone number is (347) 264-6436.

What is 7 Susan Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does 7 Susan Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2316835) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 7 Susan Medical PC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.