Susan Nifenecker, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400714-1 Issued in NY

Practice address

2146 Jackson Ave
Seaford, NY 11783-2606

Phone

(516) 221-3030

Fax

(516) 221-1013

NPI assigned

Aug 15, 2006

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York General Medical Services PCGroup PAC ID 7810255494, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment Care Compare group NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  Medicare reassignment NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY, SC

  Medicare reassignment NPD
• South Carolina Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Woodruff, SC
  • NPI 1093244824
  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1902224520
  NPD
• Acld Kramer Learning Center

  • Developmental Disabilities Clinic/Center
  • Bay Shore, NY
  • NPI 1942565015
  NPD (past)
• County of Suffolk

  dba John J. Foley Skilled Nursing Facility

  • Skilled Nursing Facility
  • Yaphank, NY
  • NPI 1104868702
  NPD (past)
• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1144233420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIFENECKER",
        "first_name": "SUSAN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400714-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003933339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Newfeld Kanowitz
• Courtney Newman
• Kenneth Newman, D.M.D.
• Linda Jill Nici, PT
• Michelle Niemira, M.S. CF-SLP, TSSLD
• Janet Nilsen, R.N.
• Carmelo Michael Nina, PH. D.
• Elizabeth Ann O'Byrne
• Maureen O'Callaghan
• Kevin O'Connor, NP

• Psychiatric/Mental Health Nurse Practitioner in Seaford, NY
• Providers in Seaford, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.