MS. SUSAN ANN METALLO (NPI# 1720310675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720310675 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ANN METALLO |
| Other Name | MS. SUSAN ANN METALLO |
| Credential | RN BSN |
| Practice Address |
207 Hallock Rd Stony Brook NY 11790-3033 |
| Mailing Address |
210 Hospital Rd East Patchogue NY 11772-8802 |
| Practice Telephone | 6316898920 |
| Practice Fax Number | 6316892194 |
| Mailing Telephone | 6317302847 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 382015 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| Street Address |
207 HALLOCK RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361414 | Peter Smith | Podiatrist | 207 Hallock Rd, Suite 4, Stony Brook, NY 11790-3033 | 2006-01-25 |
| 1720646805 | Samantha Lynn Renieris | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2019-06-03 |
| 1518451459 | Jessica Liberty | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2018-06-14 |
| 1922501964 | Melissa M Schachter | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2018-03-15 |
| 1891217774 | Marisa Massaro | Family Medicine | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2017-07-12 |
| 1497289037 | Stony Brook Oral and Facial Surgery PC | Dentist | 207 Hallock Rd, Suite 2, Stony Brook, NY 11790-3033 | 2017-04-19 |
| 1306394978 | Doughty and Ryzova Medical Group PC | Pediatrics | 207 Hallock Rd, Suite 106, Stony Brook, NY 11790-3033 | 2016-09-13 |
| 1376099226 | Mireille Toughey | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2016-08-31 |
| 1518360197 | Marianne Kaminski | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-26 |
| 1962803163 | Dianne Munnich | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263091 | Melissa Margaret Feraca | Registered Nurse | Health Sciences Tower Level 19, Room 071, Stony Brook, NY 11794-0001 | 2019-06-12 |
| 1932767514 | Liyuan Jing | Registered Nurse | 44 Malvern Ln, Stony Brook, NY 11790-2849 | 2019-05-30 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1083125389 | Ravina Chawla | Registered Nurse | 2500 Nesconset Hwy Bldg 11d, Stony Brook, NY 11790-2553 | 2017-10-13 |
| 1497199129 | Joan Hainsley | Registered Nurse | 65 University Heights Dr, Stony Brook, NY 11790-2730 | 2013-04-24 |
| 1790023471 | Maricel Anne Franzese | Registered Nurse | Hsc T12 Room 080 Dept of Neurosurgery, Stony Brook, NY 11794-8122 | 2013-01-30 |
| 1710238423 | Rose Edna Erickson | Registered Nurse | 16 Yorkshire Ave., Stony Brook, NY 11790-1320 | 2012-09-21 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| 1922383272 | Jeanne Fitzpatrick | Registered Nurse | 112 Sycamore Cir, Stony Brook, NY 11790-3168 | 2011-10-19 |
| 1679858385 | Michele Lynn Conrad | Registered Nurse | 4 Arlington Ct, Stony Brook, NY 11790-2004 | 2011-10-13 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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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.