Individual provider Active NPI

Suzanna Lucia Vanacore, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1982023917
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342000 Issued in NY
Practice address
445 Park Ave
Brooklyn, NY 11205-2735
Phone
(718) 963-0800
Fax
(718) 534-5221
NPI assigned
Apr 7, 2014
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9204428 FL
Family Nurse Practitioner 363LF0000X 342000 NY Primary

Addresses

Primary practice location

445 Park Ave
Brooklyn, NY 11205-2735

Mailing address

1839 Central Ave.
St. Petersburg, FL 33713-8900
Phone (727) 322-1054

Other practice location 1

1839 Central Ave.
St. Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 1

IdentifierTypeStateIssuer
04877390MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140521000718 FL Practitioner - Nurse Practitioner 7416170469 Reassigns benefits to 5 organizations
I20180221001526 NY Practitioner - Nurse Practitioner 7416170469 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9204428FLMDFamily Nurse Practitioner
342000NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Herald Medical Services Midwest PA CurrentSince Feb 1, 2026 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Vantage Medical Associates PC CurrentSince Aug 1, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Jan 21, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Feb 10, 2018 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Jul 1, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 10, 2019 Accepting new patients
Herald Medical Services West PC CurrentSince Feb 1, 2026 Accepting new patients
Herald Medical Services PA CurrentSince Feb 1, 2026 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Jan 21, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Feb 10, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 10, 2019 Accepting new patients
Herald Medical Services Mid-Atlantic PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1982023917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-322-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PARK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052735",
            "telephone_number": "718-963-0800",
            "fax_number": "718-534-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Central Ave.",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "337138900",
            "country_code": "US",
            "telephone_number": "727-322-1054",
            "fax_number": "727-322-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANACORE",
        "first_name": "SUZANNA",
        "middle_name": "LUCIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9204428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04877390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.