MS. SUZANNE CASSANDRA FORDE (NPI# 1134411630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134411630 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE CASSANDRA FORDE |
| Credential | PA-C |
| Practice Address |
1850 Brooklyn Avenue Apt. 4h Brooklyn NY 11210-4248 |
| Mailing Address |
1830 Brooklyn Ave Apt. 4h Brooklyn NY 11210-4250 |
| Practice Telephone | 6464830851 |
| Mailing Telephone | 6464830851 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
013541 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1850 BROOKLYN AVENUE APT. 4H |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1447716824 | Laura Holmes | Physician Assistant | 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 | 2019-02-11 |
| 1497206981 | Viktoriya Sionov | Physician Assistant | 6522 Avenue M, Brooklyn, NY 11234-5600 | 2016-10-19 |
| 1003212994 | Precision Physicians Assistant | Physician Assistant | 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 | 2014-11-05 |
| 1417386640 | Alexandra Demeglio | Physician Assistant | 1357 Ovington Ave, Brooklyn, NY 11219-6111 | 2013-11-07 |
| 1659706570 | Lyudmila Trubetsky | Physician Assistant | 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 | 2013-09-10 |
| 1831531094 | Julio Alberto Chau | Physician Assistant | 173 Clinton St Apt B, Brooklyn, NY 11201-5640 | 2013-07-29 |
| 1164799508 | James Earl La Voy | Physician Assistant | 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 | 2011-11-30 |
| 1629363486 | Michael Joseph Levine | Physician Assistant | 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 | 2011-06-09 |
| 1316279995 | David R Sanon | Physician Assistant | 150 55 Th Street, Lutheran Medical Center, Brooklyn, NY 11220-2574 | 2010-02-05 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.