Suzanne Jane Dirienzo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004661 Issued in NY

Practice address

1Pinckney Blvd.
Naval Hospital at Beaufort
Beaufort, SC 29902

Phone

(843) 228-5577

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1265612147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DATAW DR",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203806",
            "telephone_number": "917-593-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1PINCKNEY BLVD.",
            "address_2": "NAVAL HOSPITAL AT BEAUFORT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-228-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRIENZO",
        "first_name": "SUZANNE",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Diez, PT, DPT
• Sheila Dill, MSC, LPC, NCC
• Alan F Dinehart Jr., DC
• Angela Dingle
• Roderick Taylor Dippel, M.D,
• Tamica L. Doby, MSW
• Dakota Dodd, MA, LPCI
• Chemikia Doe
• Mary Lillian Dolan Johnson, DO
• Steve Donaldson, LAC, MAC, CACII

• Medical Physician Assistant in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.