Susan McCabe, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301658-1 Issued in NY

Practice address

135 Meadow Beach LN
Mattituck, NY 11952-2651

Phone

(516) 449-6084

NPI assigned

Mar 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1710786231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MEADOW BEACH LN",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522651",
            "telephone_number": "516-449-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MEADOW BEACH LN",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522651",
            "telephone_number": "516-449-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "SUSAN",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301658-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Martin, CASAC
• Jenna Jean Martuscello, LMSW
• Moira Goggins Mastro, LMSW
• Mattituck Family Medicine PLLC
• Mattituck Fire District
• Angel Riley McCarrick, LMSW
• Louis Melissari
• Thomas Robert Mercier, MD
• Marlyn V Milicia, DPM
• Lisa Moscato, LCSW

• All providers in Mattituck, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.