Individual provider Active NPI

Suzanne Dozoretz, NP, RNFA

  • Family Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1033744891
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345950-01 Issued in NY
Practice address
101 Dates Dr
Ithaca, NY 14850-1342
Phone
(607) 274-4011
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 671508-1 NY
Family Nurse Practitioner 363LF0000X F345950-01 NY Primary

Addresses

Primary practice location

101 Dates Dr
Ithaca, NY 14850-1342

Mailing address

308 Lake Ave
Ithaca, NY 14850-3510
Phone (607) 220-6279

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001931 NY Practitioner - Nurse Practitioner 2062832561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397
Phone (607) 273-3161

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
671508-1NYMDRegistered Nurse First Assistant
F345950-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients
Cayuga Pathology PLLC Current Accepting new patients
Cayuga Medical Associates, PC CurrentSince Sep 14, 2020 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Sep 14, 2020 Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 26, 2026 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Sep 14, 2020 Accepting new patients
Schuyler Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

1301 Trumansburg Rd
Ste E
Ithaca, NY 14850

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

1301 Trumansburg Rd
Ste B
Ithaca, NY 14850
Phone (607) 882-0010

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

Interoperability endpoints

  • Direct secure messaging: sdozoretz27232@direct.xtensys.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1033744891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LAKE AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503510",
            "telephone_number": "607-220-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZORETZ",
        "first_name": "SUZANNE",
        "credential": "NP, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "671508-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345950-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.