Individual provider Active NPI

Susanna Lekhno

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1205070273
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335363-1 Issued in NY
Practice address
150 55TH St
Brooklyn, NY 11220-2559
Phone
(718) 630-6779
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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 510246-1 NY
Family Nurse Practitioner 363LF0000X F335363-1 NY Primary

Addresses

Primary practice location

150 55TH St
Brooklyn, NY 11220-2559

Mailing address

24 Denise CT
Manalapan, NJ 07726-4679
Phone (732) 446-4794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510246-1NYMDRegistered Nurse
335363NYMDLicensed Practical Nurse
F335363-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 7, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 7, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

Organizations & group practices 5

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1205070273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DENISE CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264679",
            "telephone_number": "732-446-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKHNO",
        "first_name": "SUSANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "510246-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335363-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.