Individual provider Active NPI

Susan M George

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1407608367
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352194-01 Issued in NY
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

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001965 NY Practitioner - Nurse Practitioner 6305377565 Reassigns benefits to 1 organization

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
Allied Healthcare Physician PLLCGroup PAC ID 8224079744, 16 clinicians
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

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

LicenseStateTypeSpecialty
F352194-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Healthcare Physician PLLC CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.