Susan E Jewett, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007997 Issued in NY

Practice address

30 Broad St FL 45
New York, NY 10004-2942

Phone

(212) 530-0630

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1043374853

  Family Medicine, NY

  Medicare reassignment Care Compare group NPD
• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1780633982
  Care Compare group NPD
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Cortland, NY
  • NPI 1093946691
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Marathon, NY
  • NPI 1114158276
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Moravia, NY
  • NPI 1588895197
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Cincinnatus, NY
  • NPI 1659654101
  Care Compare group
• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1811342827
  Care Compare group

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Network of Central New York, Inc. 20 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.jewett.1@28343.direct.athenahealth.com
• Direct secure messaging: sjewett161827@direct-guthrie.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2025.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1033116124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "212-530-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 West Rd",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451637",
            "country_code": "US",
            "telephone_number": "607-753-9977",
            "fax_number": "607-758-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 Cincinnatus Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnatus",
            "state": "NY",
            "postal_code": "130409685",
            "country_code": "US",
            "telephone_number": "607-863-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "007997",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007997-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9342",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjewett161827@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4077 West Rd",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorde Jevtic, MD
• Andrea Karen Jewejll, PSY.D.
• Elizabeth Lin Jewell, MD
• Samantha Jewell
• Shaina Jewett-Wolf
• Jewish Boar of Family and Children'S Services, Inc.
• Jewish Board Family & Children Services
• Jewish Board of Families and Childrens Services
• Jewish Board of Family & Childrens Services Inc
• Jewish Board of Family and Children Services

• All providers in New York, NY
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.