Individual provider Active NPI

Suzanna E Weser, FNP

  • Family Nurse Practitioner
  • Williamson, NY
National Provider Identifier
1669746301
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337182 Issued in NY
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

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03443258MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
616634NYMDRegistered Nurse
337182NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 1, 2016 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 27, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince Apr 15, 2012 Accepting new patients
Rochester General Hospital Current Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jan 9, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Oct 23, 2023 Accepting new patients
Rochester General Hospital CurrentSince Jan 9, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.