Active NPI
Suzanne Marie Reichert, A-GNP
- Gerontology Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F308839
- Practice address
- 447 Atlantic Ave
Brooklyn, NY 11217-1702 - Phone
- (718) 858-6300
- Fax
- (718) 858-0145
- NPI assigned
- Jul 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AG07180242 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | AG07180242 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | AG07180242 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | F308839 | NY | Primary |
Addresses
Primary practice location
447 Atlantic Ave
Brooklyn, NY 11217-1702
Mailing address
55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
1420 Broadway Lowr Level
Hewlett, NY 11557-1321
Phone (516) 374-8600
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 740241
Los Angeles, CA 90074-0241
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308839 | NY | MD | Hospitalist Physician |
| F308839 | NY | MD | Gerontology Nurse Practitioner |
| AG07180242 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
Fl 2
New York, NY 10041
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 3
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1851443733
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1164909289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER STREET",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171702",
"telephone_number": "718-858-6300",
"fax_number": "718-858-0145"
}
],
"practiceLocations": [
{
"address_1": "1420 Broadway Lowr Level",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "115571321",
"country_code": "US",
"telephone_number": "516-374-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REICHERT",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "A-GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "AG07180242",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "AG07180242",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "AG07180242",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F308839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.