Susan Jacob Cherian, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Haverstraw, NY
NPI 1982864906 · NPPES record last updated Jan 25, 2013
Key facts
- NPI
- 1982864906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 380734 (NY)
- Practice address
- 48 New Main St
Haverstraw, NY 10927-1812 - Phone
- (845) 429-1680
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380734 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blythedale Childrens Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 380734 | NY | Yes |
Addresses
Primary practice location
48 New Main St
Haverstraw, NY 10927-1812
Mailing address
8 Claudia CT
Tappan, NY 10983-1936
Phone (845) 365-6741
Other providers in Haverstraw, NY
- Dania Boncoeur
- Tatiyana Bredin
- Gilbert C Carlevaro Jr.
- Jahaira Castro
- Centro de Amigos, LLC
- Choice Home Care Co Inc
- Matthew Cohen
- Carmen I Cruz
- Elizabeth Cupoli
- Dipti Das
All providers in Haverstraw, NY · Pediatric Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.