Individual provider Active NPI

Suzanne Glucksman, FNP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1780045005
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0752399 Issued in NY
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

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20211227000897 NY Practitioner - Nurse Practitioner 7214328350 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709740NYMDRegistered Nurse
0752399NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
Pediatric Urology Associates, PC CurrentSince Oct 13, 2019 Accepting new patients
Rd Medical Professional Services PC CurrentSince Mar 1, 2022 Accepting new patients
New York University CurrentSince Nov 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.