Susanna Abraham, PA-C
Individual provider Active NPI Physician Assistant · New York, NY
NPI 1306777693 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1306777693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 035293 (NY)
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (646) 697-9355
- NPI assigned
- May 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| I20260622003523 | NY | Order and Referring Only - Physician Assistant | 3577036524 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035293 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 035293 | NY | Yes |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
525 E 68TH St
New York, NY 10065-4870
Other providers in New York, NY
- Rebecca Abraham
- Sari Abraham
- Sherley Abraham
- Sneha Pakkallil Abraham
- Steve Eric Abraham
- Trina Abraham II
- Victor Manuel Abraham II
- Zebib Abraham
- Dulcie Hannah Abrahams Altass
- Brian Abrahams
All providers in New York, NY · 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 May 26, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.