Susan Aiken, NPP
Individual provider Active NPI Nurse Practitioner · Bay Shore, NY
NPI 1043362239 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1043362239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 00400788 (NY)
- Practice address
- 9 4TH Ave
Bay Shore, NY 11706-7908 - Phone
- (631) 665-6707
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00400788 | NY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 00400788 | NY | Yes |
Addresses
Primary practice location
9 4TH Ave
Bay Shore, NY 11706-7908
Mailing address
49 Higgins St
North Babylon, NY 11703-3505
Phone (631) 665-6707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00400788 | Medicaid | NY |
Other providers in Bay Shore, NY
- Nicholas Ahlers
- Syed N Ahmad
- Shamayl Munaf Ahmed
- Sandra Sungmee Ahn-Lee
- Iram Ahsanuddin
- Faisal Aiwzali
- Amanda Ajello
- Kelechi Akuma
- Sengal Kelit Alazar
- Jacquelyn Alyse Albarracin
All providers in Bay Shore, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.