Active NPI
Susan K. Poli
- Registered Nurse
- Monticello, NY
National Provider Identifier
1811302250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 350286-1
- Practice address
- 520 S Maplewood Rd
Monticello, NY 12701-4171 - Phone
- (845) 794-7608
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 2014
- 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 | 350286-1 | NY | Primary |
Addresses
Primary practice location
520 S Maplewood Rd
Monticello, NY 12701-4171
Mailing address
PO Box 123
520 So. Maplewood Rd.
Monticello, NY 12701-0123
Phone (845) 794-7608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350286-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1811302250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"address_2": "520 SO. MAPLEWOOD RD.",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127010123",
"telephone_number": "845-794-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAPLEWOOD RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127014171",
"telephone_number": "845-794-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLI",
"first_name": "SUSAN",
"middle_name": "K.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "350286-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
- Nicholas Pietrangolare, LMSW
- Laura Jeanne Piluso-Willson, DPM
- Bruce Steven Pinker, D.P.M.
- Planned Parenthood of the Mid Hudson Valley
- Plattsburgh Physical Therapy and Sports Rehab (Catskill Orthopedics and Sports Physical Therapy and Dba Mountain PT)
- Alexis A Polin, LPN
- Evan Povill, MS, OTR/L
- Margaret Poziomska, MASTER CASAC
- Daisha Pozo Laguna, LPN
- Premier Care Physical Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.