Active NPI
Susan C Lai, RN NP
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1881779239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F3006071
- Practice address
- 1400 Pelham Parkway
BLDG 5 RM 312 Jacobi Medical Center
Bronx, NY 10461 - Phone
- (718) 918-6021
- Fax
- (718) 918-7701
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F3006071 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Parkway
BLDG 5 RM 312 Jacobi Medical Center
Bronx, NY 10461
Mailing address
20910 23Rd Avenue
BH
Bayside, NY 11360-1839
Phone (718) 423-1915
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3006071 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881779239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20910 23RD AVENUE",
"address_2": "BH",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601839",
"telephone_number": "718-423-1915",
"fax_number": "718-918-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY",
"address_2": "BLDG 5 RM 312 JACOBI MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-6021",
"fax_number": "718-918-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "SUSAN",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F3006071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.