Active NPI
Suzanne Elizabeth McGlynn, N.P.
- Pediatric Nurse Practitioner
- Mount Vernon, NY
National Provider Identifier
1104268234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382435
- Practice address
- 8 Alameda PL
Mount Vernon, NY 10552-1201 - Phone
- (914) 260-9476
- NPI assigned
- Jul 17, 2013
- Last updated
- May 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382435 | NY | Primary |
| Registered Nurse | 163W00000X | 658342 | NY |
Addresses
Primary practice location
8 Alameda PL
Mount Vernon, NY 10552-1201
Mailing address
8 Alameda PL
Mount Vernon, NY 10552-1201
Phone (914) 260-9476
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658342 | NY | MD | Registered Nurse |
| 382435 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Family Medical Center, Inc. | Current | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- suzanne.mcglynn@odfmc.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Mount Kisco, NY
- NPI 1629237151
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1104268234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "914-260-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "914-260-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLYNN",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382435",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "658342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.