Active NPI
Susan M Patronik, PA
- Medical Physician Assistant
- Orchard Park, NY
National Provider Identifier
1245400126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 017506-1
- Practice address
- 3670 S Benzing Rd
Orchard Park, NY 14127-1705 - Phone
- (716) 662-5357
- Fax
- (716) 662-2774
- NPI assigned
- Mar 6, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA053342 | PA | |
| Medical Physician Assistant | 363AM0700X | 001003668 | NC | |
| Medical Physician Assistant | 363AM0700X | 017506-1 | NY | Primary |
Addresses
Primary practice location
3670 S Benzing Rd
Orchard Park, NY 14127-1705
Mailing address
3670 S Benzing Rd
Orchard Park, NY 14127-1705
Phone (716) 662-5357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00028380301 | Other | NY | UNIVERA |
| 8103048 | Medicaid | NC |
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
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3670 S Benzing Rd
Suite a
Orchard Park, NY 14127-1741
Phone (716) 662-5357
Hospital & facility affiliations
- Sisters of Charity Hospital
- Mercy Hospital of Buffalo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017506-1 | NY | MD | Speech-Language Pathologist |
| MA053342 | PA | MD | Physician Assistant |
| 001003668 | NC | MD | Medical Physician Assistant |
Interoperability endpoints
- spatronic@opfp.medentdirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Orchard Park, NY
- NPI 1811000979
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420329600000",
"number": "1245400126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 S BENZING RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271705",
"telephone_number": "716-662-5357",
"fax_number": "716-662-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 S BENZING RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271705",
"telephone_number": "716-662-5357",
"fax_number": "716-662-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRONIK",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2015-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053342",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "001003668",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "017506-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00028380301",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8103048",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.