Individual provider Active NPI

Susan Freay Sulewski, FNP

  • Nurse Practitioner
  • Henrietta, NY
National Provider Identifier
1740376136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F332169 Issued in NY
Practice address
3875 E Henrietta Rd
Henrietta, NY 14467-9147
Phone
(585) 334-4200
NPI assigned
Oct 5, 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
Nurse Practitioner 363L00000X F332169 NY Primary

Addresses

Primary practice location

3875 E Henrietta Rd
Henrietta, NY 14467-9147

Mailing address

504 Webster Rd
Webster, NY 14580-9562
Phone (585) 265-9379

Other identifiers 1

IdentifierTypeStateIssuer
02049521MedicaidNY

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F332169NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740376136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WEBSTER RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809562",
            "telephone_number": "585-265-9379",
            "fax_number": "585-265-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E HENRIETTA RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679147",
            "telephone_number": "585-334-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEWSKI",
        "first_name": "SUSAN",
        "middle_name": "FREAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02049521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.