Active NPI
Susan M George
- Family Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F352194-01
- Practice address
- 23 Water Grant St Apt 2B
Yonkers, NY 10701-3583 - Phone
- (914) 886-8137
- NPI assigned
- Apr 3, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F352194-01 | NY | Primary |
Addresses
Primary practice location
23 Water Grant St Apt 2B
Yonkers, NY 10701-3583
Mailing address
23 Water Grant St Apt 2B
Yonkers, NY 10701-3583
Phone (914) 886-8137
Other practice location 1
20 Davis Ave
White Plains, NY 10601-4602
Phone (914) 681-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Mercy College, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
150 Lockwood Ave
Suite 16
New Rochelle, NY 10801-4912
Phone (914) 235-2352
340 City Island Ave
Bronx, NY 10464-1326
Phone (718) 885-0333
444 E Boston Post Rd
Suite 201
Mamaroneck, NY 10543-3704
Phone (914) 834-1777
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F352194-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Healthcare Physician PLLC | Current | Accepting new patients | |
| Phyllis Mandel MD PLLC | Past | Accepting new patients |
Locations
340 City Island Ave
Bronx, NY 10464
Phone (718) 885-0333
444 E Boston Post Rd
Ste 201
Mamaroneck, NY 10543
Phone (914) 381-2995
150 Lockwood Ave
Ste 16
New Rochelle, NY 10801
Phone (914) 235-2352
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Legal Medicine (M.D./D.O.) Physician
- Mamaroneck, NY
- NPI 1568491140
-
- Internal Medicine Physician
- New Rochelle, NY
- NPI 1093977951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1407608367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WATER GRANT ST APT 2B",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013583",
"telephone_number": "914-886-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WATER GRANT ST APT 2B",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013583",
"telephone_number": "914-886-8137"
}
],
"practiceLocations": [
{
"address_1": "20 Davis Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106014602",
"country_code": "US",
"telephone_number": "914-681-0660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352194-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.