Active NPI
Susan Elizabeth Dunican, RN
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 588897
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-6840
- NPI assigned
- Jul 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 588897-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 588897 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1275 York Ave
New York, NY 10065-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110110000764 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375732183 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2000
650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4034
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.63 of 100
- Quality
- 66.91
- Improvement activities
- 40
- Cost
- 71.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.79 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 49.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 588897-1 | NY | MD | Registered Nurse |
| 588897 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Mskcc Regional Network | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| Memorial Anesthesiology Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
Nurse Anesthetist, Certified Registered, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1891008488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNICAN",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "588897-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "588897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.