Individual provider Active NPI

Susanna Joan Cherubin

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1689912412
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
310596-1 Issued in NY
Practice address
2801 Beverley Rd Apt 3F
Brooklyn, NY 11226-5531
Phone
(347) 240-1956
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 310596-1 NY Primary

Addresses

Primary practice location

2801 Beverley Rd Apt 3F
Brooklyn, NY 11226-5531

Mailing address

2801 Beverley Rd Apt 3F
Brooklyn, NY 11226-5531
Phone (347) 240-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
310596-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1689912412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BEVERLEY RD APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265531",
            "telephone_number": "347-240-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BEVERLEY RD APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265531",
            "telephone_number": "347-240-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUBIN",
        "first_name": "SUSANNA",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.