Individual provider Active NPI

Jia Hui Su

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1881232478
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309326-01 Issued in NY
Practice address
7206 Bay Pkwy
Brooklyn, NY 11204-6026
Phone
(718) 489-9118
Fax
(718) 232-1904
NPI assigned
Dec 15, 2019
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309326-01 NY Primary

Addresses

Primary practice location

7206 Bay Pkwy
Brooklyn, NY 11204-6026

Mailing address

7206 Bay Pkwy
Brooklyn, NY 11204-6026
Phone (917) 346-8658

Other practice location 1

660 1st Ave Fl 5
New York, NY 10016-3295
Phone (917) 346-8658

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsu273173@nyumc.direct-ci.com

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
I20200713002598 NY Order and Referring Only - Nurse Practitioner 1355764150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F309326-01NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1881232478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046026",
            "telephone_number": "917-346-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046026",
            "telephone_number": "718-489-9118",
            "fax_number": "718-232-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 1st Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163295",
            "country_code": "US",
            "telephone_number": "917-346-8658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "JIA HUI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309326-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsu273173@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "159 E 53rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100224602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.