Individual provider Active NPI

Sussan Atuanya

  • Registered Nurse
  • Cambria Heights, NY
National Provider Identifier
1154089365
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
508024 Issued in NY
Practice address
11954 231St St
Cambria Heights, NY 11411-2218
Phone
(646) 643-1254
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 508024 NY Primary

Addresses

Primary practice location

11954 231St St
Cambria Heights, NY 11411-2218

Mailing address

11954 231St St
Cambria Heights, NY 11411-2218
Phone (646) 643-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
508024NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1154089365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 231ST ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112218",
            "telephone_number": "646-643-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11954 231ST ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112218",
            "telephone_number": "646-643-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUANYA",
        "first_name": "SUSSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "508024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.