Active NPI
Suzette Dubuisson, LPN
- Licensed Practical Nurse
- Elmont, NY
National Provider Identifier
1366775710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 244047
- Practice address
- 92 Hathaway Ave
Elmont, NY 11003-2025 - Phone
- (516) 328-1237
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 244047 | NY | Primary |
Addresses
Primary practice location
92 Hathaway Ave
Elmont, NY 11003-2025
Mailing address
92 Hathaway Ave
Elmont, NY 11003-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244047 | Other | NY | OFFICE OF PROFESSIONS - LPN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244047 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1366775710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 HATHAWAY AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 HATHAWAY AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032025",
"telephone_number": "516-328-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBUISSON",
"first_name": "SUZETTE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "244047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF PROFESSIONS - LPN LICENSE",
"identifier": "244047",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
- Guirlene Dolce
- Miriam Domingo Schmitt, MSSW
- Dragonfly Cognitive Development and Consulting LLC
- Melissa Drouillard, LPN
- Suza C Dubuisson, R.N.
- Nancy Candio Duplessy, NURSE PRACTITIONER
- Dutch Broadway Family Medical Care, P.C.
- Lorrine Eastman
- Easy Draw Phlebotomy Solutions LLC
- Easy Home Care Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.