Susan C. Pedersen, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

321489 Issued in NY

Practice address

327 Route 59
Airmont, NY 10952

Phone

(845) 356-2900

NPI assigned

Oct 5, 2005

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 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Northeast Orthopedics and Sports Medicine PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nanuet, NY
  • NPI 1073937579
  NPD
• Northeast Orthopedics and Sports Medicine PLLC

  • Durable Medical Equipment & Medical Supplies
  • Airmont, NY
  • NPI 1306261177
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation
• State of New York Comptrollers Office

  • General Acute Care Hospital
  • West Haverstraw, NY
  • NPI 1063525442
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1659368405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545238",
            "telephone_number": "845-262-5313",
            "fax_number": "845-262-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-356-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Nyack Hospital",
            "address_2": "160 North Midland Avenue",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "10960",
            "country_code": "US",
            "telephone_number": "845-354-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Nyack Hospital",
            "address_2": "160 North Midland Avenue",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "10960",
            "country_code": "US",
            "telephone_number": "845-354-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "321489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P33251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Orthopedics and Sports Medicine PLLC
• Nya Studio Inc
• Ohros of Rockland Incorporated
• Stephanie Panuthos, CRPA, CASAC-T
• Maria Paternoster, OTR
• Rivka Pelberg, LCSW
• Gail N. Pendleton, LCSW
• Perveen Medical Supply LLC
• Raquelle Batya Pfeifer, MS, CCC-SLP
• Zechriah Pleshty, OPTICIAN

• Acute Care Nurse Practitioner in Airmont, NY
• Providers in Airmont, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.

Verify at the official NPI Registry.