Susan Nadine Dacres- Clarke, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339121 Issued in NY

Practice address

13455 176TH St
Jamaica, NY 11434

Phone

(718) 949-6926

NPI assigned

Jan 12, 2007

Last updated

Jul 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

State University of New York Downstate Medical Center, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parker Jewish Institute for Health Care and RehabilitationGroup PAC ID 5294645966, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parker Jewish Institute for Health Care and Rehabilitation

  • Skilled Nursing Facility
  • New Hyde Park, NY
  • NPI 1932275427
  Medicare reassignment Care Compare group NPD
• Care Connect Medical P.C.

  • General Practice Physician
  • Tarrytown, NY
  • NPI 1457032328
  Medicare reassignment NPD
• Shorefront Operating LLC

  dba Seagate Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1801206156
  Medicare reassignment NPD
• Parker Jewish Institute for Health Care and Rehabilitation

  dba The Parker Jewish Geriatric Inst

  • Long Term Care Pharmacy
  • New Hyde Park, NY
  • NPI 1306882857
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1962552588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 KENTLAND DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-949-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACRES- CLARKE",
        "first_name": "SUSAN",
        "middle_name": "NADINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "507084",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamilah Da Costa
• Da Sunshine
• Talley Dabakarov, AU.D. CCC-A
• Amy Dabo
• Ivonne Dabovich, C.M.
• Elsie Naomi Dacruz, LMHC
• Carline Dade
• Vikash Dadlani, MD
• Yingliang Dai
• Oluwatoyosi Dairo, MD

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.