Active NPI
Suzanna E Weser, FNP
- Family Nurse Practitioner
- Williamson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337182
- Practice address
- 4425 Old Ridge Rd
Williamson, NY 14589-9363 - Phone
- (315) 483-3280
- Fax
- (315) 589-4893
- NPI assigned
- Feb 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 616634 | NY | |
| Family Nurse Practitioner | 363LF0000X | 337182 | NY | Primary |
Addresses
Primary practice location
4425 Old Ridge Rd
Williamson, NY 14589-9363
Mailing address
1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2406
Other practice location 1
1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03443258 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sweser100841@direct.rochesterregional.org | ||
| Direct Messaging Address | sweser100841@direct.rochesterregional.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120606000021 | NY | Practitioner - Nurse Practitioner | 7911161856 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616634 | NY | MD | Registered Nurse |
| 337182 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
290 Eastern Blvd
Canandaigua, NY 14424
Phone (585) 412-5630
875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061
200 North St
Geneva, NY 14456
Phone (315) 787-5100
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
3648 Dewey Ave
Rochester, NY 14616
Phone (585) 736-3503
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
4425 Old Ridge Rd
Williamson, NY 14589
Phone (315) 483-3280
Interoperability endpoints
- sweser100841@direct.rochesterregional.org
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1669746301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 DRIVING PARK AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131057",
"telephone_number": "315-332-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 OLD RIDGE RD",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899363",
"telephone_number": "315-483-3280",
"fax_number": "315-589-4893"
}
],
"practiceLocations": [
{
"address_1": "1200 Driving Park Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131057",
"country_code": "US",
"telephone_number": "315-332-2406",
"fax_number": "315-359-2488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESER",
"first_name": "SUZANNA",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "616634",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03443258",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sweser100841@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "1200 Driving Park Ave",
"city": "Newark",
"state": "NY",
"country_code": "US",
"postal_code": "145131057",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sweser100841@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "4425 Old Ridge Rd",
"city": "Williamson",
"state": "NY",
"country_code": "US",
"postal_code": "145899363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.