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
Hospital & facility affiliations 6
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Erica Isabella Abidor
- Raymond Kobla Abini-Agbomson
- Adela Rose Abogado-Mui
- Ramon E Abola
- Michael Abramov
- Marsha Lynne Abrams
- Ahmad Abulseoud
- Akif Acay Sr.
- Lisa Accardi
- Anna Adam
All providers in Stony Brook, NY · Surgical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.