KINNERET SUSSMAN (NPI# 1689239337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689239337 |
| Entity Type | Individual |
| Full Name | KINNERET SUSSMAN |
| Practice Address |
1561 Route 9w Lake Katrine NY 12449 |
| Mailing Address |
24 Wavey Willow Ln Montgomery NY 12549-1501 |
| Practice Telephone | 8452315600 |
| Mailing Telephone | 8459138602 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1561 ROUTE 9W |
| City | LAKE KATRINE |
| State | NY |
| Zip Code | 12449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898978 | Gary I Povill | Ophthalmology | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2005-06-02 |
| 1992266233 | Mary Yegoryan | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2019-03-28 |
| 1902277544 | Alyson Peluso | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2015-10-08 |
| 1649618026 | Oren Ambalu | Anesthesiology | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2013-06-07 |
| 1295854925 | Alexandra Pappas | Ophthalmology | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2007-03-27 |
| 1417016171 | Adam D Soyer | Orthopaedic Surgery | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2006-12-08 |
| 1841381670 | Richard Warren Moscowitz | Orthopaedic Surgery | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2006-09-27 |
| 1093757890 | Mathew Scott Owitz | Nurse Practitioner | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2006-06-13 |
| 1083662001 | Jane H Ferguson | Pediatrics | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2006-05-04 |
| 1417905449 | Joseph Appel | Pediatrics | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841785318 | Shannon Maureen Stanton | Registered Nurse | 803 Grant Ane, Lake Katrine, NY 12449 | 2018-06-27 |
| 1780130591 | Willcare | Custodial Care Facility | 803 Grant Anenue, Lake Katrine, NY 12449 | 2016-08-31 |
| 1366786253 | Hudson Valley Hearing Aid Center Inc. | Hearing Instrument Specialist | 1996 Route 9 W, Lake Katrine, NY 12449 | 2012-11-16 |
| 1689957102 | Pearl Edith Graziano | Licensed Practical Nurse | 803 Grant Avenue, Kingston, NY 12449 | 2011-09-21 |
| 1861773418 | Michael Moscowitz | Surgery | 1561 Ulster Ave Fl 2, Lake Katrine, NY 12449 | 2011-09-08 |
| 1205147501 | Glen F. Pomerantz | Technician/Technologist | 1636 Ulster Ave., Lake Katrine, NY 12449 | 2010-07-01 |
| 1255584124 | Margarita Rose | Licensed Practical Nurse | 55 Leggs Mills Rd, Lake Katine, NY 12449 | 2008-10-23 |
| 1073560363 | Michael John Dolamore | Family Medicine | One Commons Drive, Ten Broeck Commons, Lake Katrine, NY 12449 | 2006-05-30 |
| 1629489166 | Raisa Tsvaygenbaum | Podiatrist | 1561 Rte 9w, Lake Katrine, NY 12449 | 2014-05-19 |
| 1528339827 | Peter Brink | Registered Nurse | 803 Grant Ave, Lake Katrine, NY 12449 | 2012-01-18 |
| Find all providers in zip 12449 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266233 | Mary Yegoryan | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2019-03-28 |
| 1205321288 | Emily O'carroll | Physician Assistant | 315 Grant Ave, Lake Katrine, NY 12449-5342 | 2018-06-22 |
| 1972026169 | Lia Ruth Basso | Physician Assistant | 315 Grant Ave, Lake Katrine, NY 12449-5342 | 2017-07-20 |
| 1902277544 | Alyson Peluso | Physician Assistant | 1561 Route 9w, Lake Katrine, NY 12449-5410 | 2015-10-08 |
| 1487745857 | Michael E Jaworski | Physician Assistant | 1561 Rte 9w, Lake Katrine, NY 12449-5410 | 2006-09-28 |
| 1770503898 | Dennis Styles | Physician Assistant | 1561 Rte 9w, Lake Katrine, NY 12449-5410 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE KATRINE |
| Zip Code | 12449 |
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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.