Active NPI
Susan V. Fernandez, DO
- Anatomic Pathology & Clinical Pathology Physician
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 049502
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- NPI assigned
- Nov 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 049502 | CT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO01544 | RI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 049502 | CT | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 20A7878 | CA |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711
Other practice location 1
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000
Other practice location 2
101 Dudley St
Providence, RI 02905-2401
Phone (401) 453-7655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A78780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000387 | CT | Practitioner - Pathology | 8628024361 | Reassigns benefits to 2 organizations |
| I20260312003611 | RI | Practitioner - Pathology | 8628024361 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affinity Physicians LLC.Saint Francis Care Medical Group PC
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6053
Hospital & facility affiliations
- Saint Mary'S Hospital
- Kent County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049502 | CT | MD | Cytopathology Physician |
| 20A7878 | CA | MD | Anatomic Pathology Physician |
| DO01544 | RI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Care Medical Group, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Saint Francis Care Medical Group, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Anatomic Pathology | Current | Accepting new patients |
| Fairfield County Pathology Consultants, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Consulting Pathologists of Connecticut, P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
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 and National Provider Directory roles.
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- Family Medicine Physician
- Hartford, CT
- NPI 1760690101
Anatomic Pathology & Clinical Pathology, CT
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
Anatomic Pathology, RI
-
- Anatomic Pathology & Clinical Pathology Physician
- Bridgeport, CT
- NPI 1518064757
Anatomic Pathology & Clinical Pathology, CT
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
Anatomic Pathology & Clinical Pathology
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Anatomic Pathology & Clinical Pathology Physician
- Waterbury, CT
- NPI 1063473809
Anatomic Pathology & Clinical Pathology
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1467526772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "203-932-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "203-932-5711"
}
],
"practiceLocations": [
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-453-7655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "SUSAN",
"middle_name": "V.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CT",
"license": "049502",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "RI",
"license": "DO01544",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "049502",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "CA",
"license": "20A7878",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020A78780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.