SUSAN HENDERSON (NPI# 1700043411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700043411 |
| Entity Type | Individual |
| Full Name | SUSAN HENDERSON |
| Credential | NP |
| Practice Address |
100 Hospital Rd Suite 216 East Patchogue NY 11772-8809 |
| Mailing Address |
124 Colton Ave Sayville NY 11782-3108 |
| Practice Telephone | 6314755511 |
| Practice Fax Number | 6314755544 |
| Mailing Telephone | 6316782972 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
30304827 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026813 | Susan Elizabeth Henderson | Counselor | 2804 Lake Rd Ste 2, Huntsville, TX 77340-5626 | 2019-01-08 |
| 1386898849 | Susan Carol Henderson | Counselor | 550 S Watters Rd Ste 272, Allen, TX 75013-5231 | 2008-11-11 |
| 1306970249 | Susan Joy Henderson | Internal Medicine | Paul D Coverdell Peace Corps Hq, 2011 20th St Nw, Washington, DC 20526-0001 | 2007-03-15 |
| 1538109145 | Susan Martina Henderson | Counselor | 38-42 Front Street Ll Suite, Binghamton, NY 13905 | 2006-06-08 |
| 1588629752 | Susan Carroll Henderson | Counselor | 2316 Atherholt Rd, Suite 107, Lynchburg, VA 24501-2100 | 2006-04-19 |
| 1649835257 | Susan Marie Henderson | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2019-05-08 |
| 1356856397 | Susan K Henderson | Behavior Technician | 1363 Douglas Dr Ste 104, Traverse City, MI 49696-8980 | 2017-12-13 |
| 1881036739 | Susan C Henderson | Speech-Language Pathologist | 3001 W Blue Starr Dr, Claremore, OK 74017-2544 | 2013-07-19 |
| 1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
| 1477834935 | Susan Beth Henderson | Pharmacist | 1991 E Apple Ave, Muskegon, MI 49442-4246 | 2011-08-29 |
| Street Address |
100 HOSPITAL RD SUITE 216 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-8809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003529 | Adam Gulli Grunseich | Student in an Organized Health Care Education/Training Program | 100 Hospital Rd, East Patchogue, NY 11772-8809 | 2020-05-04 |
| 1447785795 | Rohan Jeet Singh | Student in an Organized Health Care Education/Training Program | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2017-04-25 |
| 1750816039 | Brookhaven Memorial Hospital | Clinic/Center | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2017-04-25 |
| 1861857435 | Franco Cardiology, PC | Internal Medicine | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2015-12-23 |
| 1063894012 | Edward Pirolli | Family Medicine | 100 Hospital Rd, Suite 203, East Patchogue, NY 11772-8809 | 2015-06-26 |
| 1952783045 | Kimberly Barnaby | Family Medicine | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2015-06-24 |
| 1093138620 | Kathryn Hoffmann | Physical Therapist | 100 Hospital Rd, Suite 112, East Patchogue, NY 11772-8809 | 2014-02-03 |
| 1881015758 | Brookhaven Memorial Hospital | General Acute Care Hospital | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2013-12-19 |
| 1447681051 | Ping Hao | Physician Assistant | 100 Hospital Rd, Suite 216, East Patchogue, NY 11772-8809 | 2013-12-06 |
| 1447690490 | Naila Sarwat Mirza | Specialist | 100 Hospital Rd, East Patchogue, NY 11772-8809 | 2013-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346776788 | Cheryl Laveglia | Nurse Practitioner | 923 Sipp Ave, East Patchogue, NY 11772-4545 | 2017-05-04 |
| 1578930798 | Patrick John Dooley | Nurse Practitioner | 250 Sills Rd, East Patchogue, NY 11772-8804 | 2015-08-24 |
| 1659717387 | Jeanna Masone | Nurse Practitioner | 129 Evergreen Ln, East Patchogue, NY 11772-5805 | 2013-05-21 |
| 1851519243 | Lesley-anne Theresa Brown | Nurse Practitioner | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2007-04-23 |
| 1619093473 | Barbara Napoli | Nurse Practitioner | 286 Sills Rd, Suite 4, East Patchogue, NY 11772-8810 | 2007-03-22 |
| 1558447789 | Terrie Jean Brennan | Nurse Practitioner | 285 Sills Rd Bldg 5-6, Suite A, East Patchogue, NY 11772-4869 | 2006-10-31 |
| 1235191370 | Laureen A. Diot | Nurse Practitioner | 100 Hospital Rd, Suite 216, East Patchogue, NY 11772-8809 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
Please comment or provide details below to improve the information on SUSAN HENDERSON.
| 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.