Individual provider Active NPI

Suzanne Colgan, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1700989779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331226 Issued in NY
Practice address
21 Bloomingdale Rd
Medical Clinic
White Plains, NY 10605-1504
Phone
(914) 997-5855
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 331226 NY Primary

Addresses

Primary practice location

21 Bloomingdale Rd
Medical Clinic
White Plains, NY 10605-1504

Mailing address

1 Franklin Ave
Apt DD
White Plains, NY 10601-3845
Phone (914) 224-3349

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
I20100209000476 NY Practitioner - Nurse Practitioner 7719020007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital CurrentSince Dec 13, 2009 Accepting new patients
The New York and Presbyterian Hosp CurrentSince Dec 13, 2009 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients

Locations

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • Direct secure messaging: spc9002@direct.nyp.org

Organizations & group practices 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700989779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN AVE",
            "address_2": "APT DD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013845",
            "telephone_number": "914-224-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "address_2": "MEDICAL CLINIC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "914-997-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.