Provider Demographics
NPI:1487655460
Name:SUNSERI, MARIA J (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:SUNSERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 GRANDVIEW DR S
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1822
Mailing Address - Country:US
Mailing Address - Phone:412-727-8795
Mailing Address - Fax:412-727-7842
Practice Address - Street 1:209 GRANDVIEW DR S
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1822
Practice Address - Country:US
Practice Address - Phone:412-727-8795
Practice Address - Fax:412-727-7842
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2168492084N0400X, 2084N0600X, 2084S0012X
PAMD047961L2084N0400X, 2084S0012X
PAMD 047961 L2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA227451OtherCOVENTRY
PAVOZ402OtherUPMC
PA1169686OtherCIGNA
PA170932OtherHIGHMARK BLUE SHIELD
PA4267854OtherAETNA
PA0013968800003Medicaid
170932YN9FOtherMEDICARE PTAN
PA1505600OtherGATEWAY
PA227451OtherCOVENTRY