Susan T Slack, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

294545 Issued in NY

Practice address

80 Vandam St
C/O Nurse Office, 7 TH Floor
New York, NY 10013-1009

Phone

(212) 366-8387

Fax

(212) 366-8319

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

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

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1912202680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VANDAM ST",
            "address_2": "C/O NURSE OFFICE, 7 TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131009",
            "telephone_number": "212-366-8387",
            "fax_number": "212-366-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VANDAM ST",
            "address_2": "C/O NURSE OFFICE, 7 TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131009",
            "telephone_number": "212-366-8387",
            "fax_number": "212-366-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "SUSAN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "294545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SL Medical Services PC
• SL Physician PC
• SL Wellness Acupuncture PC
• Christine Slack
• Daniel Jeffrey Slack, MD
• Brenda Dawn Slade, N.P.
• Darya Slade, LCSW
• Morgan Elizabeth Slade, PA-C
• Robert Neil Sladen, M.D.
• Jason S Slakter, MD

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.