Individual provider Active NPI

Natasha Sustache

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1083060065
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340559 Issued in NY
Practice address
3156A Miles Ave
Bronx, NY 10465
Phone
(347) 241-6383
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 661637 NY
Family Nurse Practitioner 363LF0000X 340559 NY Primary

Addresses

Primary practice location

3156A Miles Ave
Bronx, NY 10465

Mailing address

3156A Miles Ave
Bronx, NY 10465
Phone (347) 241-6383

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
I20161103000951 NY Practitioner - Nurse Practitioner 7214215755 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661637NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 27, 2016 Accepting new patients
Symphony Medical PC CurrentSince Feb 1, 2023 Accepting new patients
Symphony Medical PC CurrentSince Feb 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 27, 2016 Accepting new patients
Dobbs Ferry Emergency Medicine, PC CurrentSince May 9, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1083060065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156A MILES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "347-241-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156A MILES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "347-241-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTACHE",
        "first_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "661637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.