Active NPI
Suzanne Hanen, RN GNP
- Gerontology Nurse Practitioner
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340550
- Practice address
- 2510 30TH Ave
Astoria, NY 11102-2448 - Phone
- (718) 932-1000
- NPI assigned
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340550 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Astoria, NY 11102-2448
Mailing address
2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340550 | NY | MD | Licensed Practical Nurse |
| F340550 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Comprehensive Pain Management-Anesthesia Services, P.C. | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients |
Locations
2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
10 Union Sq E
#4K
New York, NY 10003
Phone (212) 844-1502
350 E 17th St
#12
New York, NY 10003
Phone (212) 844-1282
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
- https://fhir4.healow.com/fhir/r4/BHHDBA
Organizations & group practices 4
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.
-
dba Mount Sinai Queens Doctors
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1174661722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1245403773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-932-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-932-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEN",
"first_name": "SUZANNE",
"credential": "RN GNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
- Hand in Hand Occupational Therapy
- Hands of Hope Comprehensive Medical Care PC
- Hands on Occupational Therapy & PT PLLC
- Hands on Physical Therapy of Bayside
- Hands on Physical Therapy, PC
- Roger Adam Hans, DPM
- Kim Hanson-Montgomery, LMSW
- Brad S Hantverk, D.D.S.
- Kristin Hantzos, RD, CDN
- Mehreen Haqqie, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.