Susan Hannah Abramovich, PA-C

Individual provider Active NPI Surgical Physician Assistant · Stony Brook, NY

NPI 1275219800 · NPPES record last updated Aug 2, 2023

Key facts

NPI
1275219800
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
Practice address
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone
(631) 444-1116
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Spine and Brain Surgery, University Faculty Practice Corporat (58 clinicians)

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213

101 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital · Stony Brook, NY · CCN 330393

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230907003447 NY Practitioner - Physician Assistant 5395109409 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Yes

Addresses

Primary practice location

100 Nicolls Rd
Stony Brook, NY 11794-0001

Mailing address

17 Sherman Rd
Old Bethpage, NY 11804-1427
Phone (516) 497-5184

Other providers in Stony Brook, NY

All providers in Stony Brook, NY · Surgical Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.