Active NPI
Susan Coffin Troise, R.N.
- Registered Nurse
- Wading River, NY
National Provider Identifier
1750686069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 633441-1
- Practice address
- 88 Leonard St
Wading River, NY 11792-1608 - Phone
- (631) 929-0489
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 633441-1 | NY | Primary |
Addresses
Primary practice location
88 Leonard St
Wading River, NY 11792-1608
Mailing address
88 Leonard St
Wading River, NY 11792-1608
Phone (631) 929-0489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633441-1 | Medicaid | NY |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633441-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1750686069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LEONARD ST",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921608",
"telephone_number": "631-929-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 LEONARD ST",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921608",
"telephone_number": "631-929-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROISE",
"first_name": "SUSAN",
"middle_name": "COFFIN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "633441-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "633441-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wading River, NY
- Teresa a. Habacker, M.D.,P.C. (d/b/a East End Hand Surgery)
- The Alliance of Divine Love, Inc No 1768 Healing for Life (Healing for Life)
- Elizabeth Thompson, M.S., CCC-SLP
- TMH Medical Home (Health Now)
- Stephanie Marie Tomich, RPA-C
- Lauren Turner, LCSW CASAC
- Erik Michael Ulrich, LCSW
- Unbridled Aesthetics
- Sarah Verneuille, RN
- Dawn Verni
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.