Suzette Rebecca Holder, DNP, AGPCNP, CNS, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F308644-1 Issued in NY

Practice address

660 Louisiana Avenue
Brooklyn, NY 11239

Phone

(718) 669-7100

Fax

(718) 669-7547

NPI assigned

Apr 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Suzette Rebecca Ryan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shorefront Operating LLCGroup PAC ID 1456570704, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Locations

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.

• Shorefront Operating LLC

  dba Seagate Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1801206156
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1942707161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 86TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364290",
            "telephone_number": "917-402-7374",
            "fax_number": "718-669-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LOUISIANA AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11239",
            "telephone_number": "718-669-7100",
            "fax_number": "718-669-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "SUZETTE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DNP, AGPCNP, CNS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "599546",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "559546-1",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "599546-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F308644-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308644-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "RYAN",
            "middle_name": "REBECCA",
            "prefix": "DR.",
            "credential": "DNP, AGPCNP-C, AGCNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janay Danielle Holder, RN
• Lorna Elsa Holder, PMHNP
• Marali Holder, LMFT
• Mariska Holder
• Shelley Holder
• Toni Holder
• Twanda Ayeisha Holder
• Holding Hands Registered Nursing Services, PC
• Miltiana Holdip
• Glenda Holford, O.T.

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.