Suzanne M Picinich, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

174681 Issued in NY

Practice address

Olv Family Care Center
227 Ridge Road
Lackawanna, NY 14218

Phone

(716) 822-5944

Fax

(716) 822-3937

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Atlantic General Hospital Corporation

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171
  NPD (past)
• Atlantic Immedicare LLC

  • General Practice Physician
  • Ocean City, MD
  • NPI 1518199223

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1467466730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OLV FAMILY CARE CENTER",
            "address_2": "227 RIDGE ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-822-5944",
            "fax_number": "716-822-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLV FAMILY CARE CENTER",
            "address_2": "227 RIDGE ROAD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "14218",
            "telephone_number": "716-822-5944",
            "fax_number": "716-822-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICINICH",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RB6164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "00051281006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0107096",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "10138103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Peffer
• Jesse Pelc
• Aylwyn Jean Pelletreau
• Howard A. Penn, DPM
• Diana Petruzzella, LBA
• Cheryl Pieczonka, LCSW
• Michael J Pietrusik, DPM
• Luiza Podlesny, PT, MPT
• Deanna C Polito, SLP
• Chanel Marie Poole, LMT

• Family Medicine Physician in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.