Individual provider Active NPI

Susan Elizabeth Cymbal

  • Registered Nurse
  • Penfield, NY
National Provider Identifier
1235413345
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
454037-1 Issued in NY
Practice address
1760 Scribner Rd
Penfield, NY 14526-9785
Phone
(585) 249-6423
Fax
(585) 249-6420
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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 454037-1 NY Primary

Addresses

Primary practice location

1760 Scribner Rd
Penfield, NY 14526-9785

Mailing address

1760 Scribner Rd
Penfield, NY 14526-9785
Phone (585) 249-6423

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
454037-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1235413345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SCRIBNER RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269785",
            "telephone_number": "585-249-6423",
            "fax_number": "585-249-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SCRIBNER RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269785",
            "telephone_number": "585-249-6423",
            "fax_number": "585-249-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYMBAL",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "454037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.