Susan Martello-Gill, MSN, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401234 Issued in NY

Practice address

1414 Wantagh Ave
Wantagh, NY 11793-2204

Phone

(516) 221-2123

NPI assigned

Feb 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Susan Martello Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• G.S. Gill MD PC

  dba Garden City Asthma and Sleep Center

  • Pulmonary Disease Physician
  • Garden City, NY
  • NPI 1659430411

  Nurse Practitioner

  Medicare reassignment NPD
• Lager LCSW, PC

  • Clinical Social Worker
  • Wantagh, NY
  • NPI 1194291773
  NPD

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1598087363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-741-0055",
            "fax_number": "516-745-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932204",
            "telephone_number": "516-221-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLO-GILL",
        "first_name": "SUSAN",
        "credential": "MSN, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F381822-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F381822-1",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NY",
            "license": "F381822",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03385595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MARTELLO",
            "credential": "MSN, FNP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Michael Maresca, LCSW
• Louis Margiore, CSW
• Gina Marie Marino-Aaron, DC
• Janet Marquardt, LMT
• Jarred Evan Marshak, M.D.
• Maria Frances Martinez
• Zachary R. Marwil, MD
• Maryhaven Center of Hope Inc.
• Annmarie Maslauskas-King
• Massage by Mara

• Psychiatric/Mental Health Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.