Active NPI
Suzanne Glucksman, FNP
- Family Nurse Practitioner
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0752399
- Practice address
- 1999 Marcus Ave Ste M18
New Hyde Park, NY 11042 - Phone
- (516) 466-6953
- NPI assigned
- Mar 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0752399 | NY | Primary |
| Registered Nurse | 163W00000X | 709740 | NY |
Addresses
Primary practice location
1999 Marcus Ave Ste M18
New Hyde Park, NY 11042
Mailing address
1999 Marcus Ave Ste M18
New Hyde Park, NY 11042-1023
Phone (917) 952-5586
Other practice location 1
7110 Park Ave
Apartment 5S
Fresh Meadows, NY 11365-4106
Phone (917) 952-5586
Other names 1
- Suzanne Hillelsohn
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709740 | NY | MD | Registered Nurse |
| 0752399 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Pediatric Urology Associates, PC | Current | Accepting new patients | |
| Rd Medical Professional Services PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Past | Accepting new patients |
Locations
1050 E 230th St
Bronx, NY 10466
Phone (718) 654-5875
745 64th St
Ste 4
Brooklyn, NY 11220
Phone (718) 283-6903
1999 Marcus Ave
Ste M18
New Hyde Park, NY 11042
Phone (516) 466-6953
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- sglucksman609743@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Staten Island, NY
- NPI 1811643166
-
- Pediatric Urology Physician
- Tarrytown, NY
- NPI 1518989193
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Pediatric Surgery Physician
- Philadelphia, PA
- NPI 1760562581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1780045005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE STE M18",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421023",
"telephone_number": "917-952-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE STE M18",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-466-6953"
}
],
"practiceLocations": [
{
"address_1": "7110 Park Ave",
"address_2": "Apartment 5S",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113654106",
"country_code": "US",
"telephone_number": "917-952-5586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLUCKSMAN",
"first_name": "SUZANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "0752399",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "709740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "HILLELSOHN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.