Active NPI
Susan Beth Conaty-Buck, DNP, FNP-C
- Family Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000828
- Practice address
- 540 S College Ave Ste 130
Newark, DE 19713-1302 - Phone
- (302) 831-3195
- Fax
- (302) 831-3193
- NPI assigned
- Jan 2, 2007
- Last updated
- Feb 12, 2017
- 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 | LG-0000828 | DE | Primary |
Addresses
Primary practice location
540 S College Ave Ste 130
Newark, DE 19713-1302
Mailing address
540 S College Ave Ste 130
Newark, DE 19713-1302
Phone (302) 831-3195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409475YNMM | Other | DE | MEDICARE, PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- University of Virginia School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Stanton Christiana Rd
Suite 101
Newark, DE 19713-2134
Phone (302) 375-6746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000828 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Associates, LLC | Family | Current | Accepting new patients |
| Premier Medical Associates | Family | Current | Accepting new patients |
| Delaware Sleep Disorder Centers, LLC | Current | Accepting new patients | |
| Delaware Sleep Disorder Centers, LLC | Current | Accepting new patients | |
| Premier Medical Associates | Family | Current | Accepting new patients |
| Delaware Sleep Disorder Centers, LLC | Current | Accepting new patients | |
| Peak View Internal Medicine, PLC | Past | Accepting new patients |
Locations
30 E Division St
Dover, DE 19901
Phone (302) 678-8311
620 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 449-9314
1400 Philadelphia Pike
Ste A4
Wilmington, DE 19809
Phone (302) 472-4878
701 Foulk Rd
Ste 1G
Wilmington, DE 19803
Phone (302) 368-3300
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1154836500
-
- Sleep Disorder Diagnostic Clinic/Center
- Wilmington, DE
- NPI 1184954356
-
- Sleep Disorder Diagnostic Clinic/Center
- Lewes, DE
- NPI 1265241368
-
- Sleep Disorder Diagnostic Clinic/Center
- Middletown, DE
- NPI 1356140594
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1114648920
-
- Internal Medicine Physician
- Harrisonburg, VA
- NPI 1316133697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486857600000",
"number": "1407913197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S COLLEGE AVE STE 130",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131302",
"telephone_number": "302-831-3195",
"fax_number": "302-831-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S COLLEGE AVE STE 130",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131302",
"telephone_number": "302-831-3195",
"fax_number": "302-831-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONATY-BUCK",
"first_name": "SUSAN",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2017-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, PTAN",
"identifier": "409475YNMM",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Comprehensive Neurology, P.a.
- Comprehensive Spine and Pain Management
- Comprehensive Spine and Pain Management, LLC
- Michele R. Compton, PA-C
- Caroline Conard, NP
- Rachel Anne Conaty, CRNP
- Shane Conaway, PA-C
- Concentra Health Services, Inc.
- Concerto Delaware LLC
- Concious Choices Counseling (Conscious Choices Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2017; 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.