Suzanne Elizabeth Corbett, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

647595 Issued in NY

Practice address

316 Beach 65TH St
Far Rockaway, NY 11692-1425

Phone

(718) 474-3800

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Daytop Village, Inc

  • Substance Abuse Rehabilitation Facility
  • Far Rockaway, NY
  • NPI 1154442879
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1881964591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116921425",
            "telephone_number": "718-474-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116921425",
            "telephone_number": "718-474-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Primary Family Medical Care of Ny, PLLC
• Andrea N Condell, LCSW
• Tanesha Connolly
• Courtney Cooke, LMSW
• Aaleyah Coppin
• Stephanie Jill Cordaro, RD CDE
• Kristy D'Janane Cordero, LMSW
• Dwight O Cordice
• Narda Guadalupe Coreas, LCSW
• Yans Cosculluela Moreno, MD

• All providers in Far Rockaway, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.