Susan K Nifenecker
NORTH SHORE-LIJ MEDICAL PC


Address: 75 -59, Glen Oaks, NY 11004-1150
Phone: 7184708100

Susan K Nifenecker (NPI# 1144233420, PAC ID# 1355303447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1144233420
PAC ID by PECOS 1355303447
Professional Enrollment ID I20041101000715
Full Name Susan K Nifenecker
Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Address 75 -59
Glen Oaks
NY 11004-1150
Phone Number 7184708100
Gender F
Credential NP
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3375701568
Number of Group Practice Members 3620
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330055 NEW YORK-PRESBYTERIAN/QUEENS

Other Locations

Address Phone Organization
6411 Beach Channel Dr, Arverne, NY 11692-1412 7189450700 NEW YORK GENERAL MEDICAL SERVICES PC
301 E Main St, Bay Shore, NY 11706-8408 6319683636 NORTH SHORE-LIJ MEDICAL PC
147 2nd Ave, Brentwood, NY 11717-4809 6312737204 NEW YORK GENERAL MEDICAL SERVICES PC
111 Beaver Dam Rd, Brookhaven, NY 11719-9715 9149491199 NEW YORK GENERAL MEDICAL SERVICES PC
330 Elmore St, Central Islip, NY 11722-3714 9149491199 NEW YORK GENERAL MEDICAL SERVICES PC
1526 New Haven Ave, New Haven Manor, Far Rockaway, NY 11691-5148 7184717200 NEW YORK GENERAL MEDICAL SERVICES PC
75 -59, Glen Oaks, NY 11004-1150 7184708100 NORTH SHORE-LIJ MEDICAL PC
100 Lake Rd, Valley Cottage, NY 10989-2339 8452686813 NEW YORK GENERAL MEDICAL SERVICES PC
61 Rollstone Ave, West Sayville, NY 11796-1309 6315899806 NEW YORK GENERAL MEDICAL SERVICES PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 100%

Organization Information

Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Physicians 3634

Physicians with the same organization

Name Specialty Organization Address
Dana Elizabeth Coletto Nurse Practitioner North Shore-lij Medical PC 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013
Grace E Berlin Rheumatology North Shore-lij Medical PC 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338
Wai C Man Hospitalist North Shore-lij Medical PC 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254
Calley Hannah Salomon Levine Gastroenterology North Shore-lij Medical PC 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200
Glenn Joseph Forrester General Surgery North Shore-lij Medical PC 777 N Broadway, Sleepy Hollow, NY 10591-1000
Nehal Shukla Family Medicine North Shore-lij Medical PC 330 Community Dr, Manhasset, NY 11030-3816
Pooja R Shah Dermatology North Shore-lij Medical PC 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058
Ayesha T Ali Infectious Disease North Shore-lij Medical PC 500 W Main St, Babylon, NY 11702-3027
Henny Liwan Obstetrics/gynecology North Shore-lij Medical PC 404 Potter Blvd, Brightwaters, NY 11718-1830
Perumal Thiyagarajan Hospitalist North Shore-lij Medical PC 221 Jericho Turnpike, Syosset, NY 11791-4515

Office Location

Street Address 75 -59
City GLEN OAKS
State NY
Zip 11004-1150

Physicians in the same location

Name Specialty Organization Address
John Q Young Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Delbert G Robinson Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Christopher Bulanowski Hospitalist North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Anna K Costakis Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Xiaowei Sun Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Juan A Gallego Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Srinagesh Mannekote-thippaiah Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Richard Yeh Hospitalist North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Matan Halpern Hospitalist North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Amanda Harris Psychiatry North Shore-lij Medical PC 75 -59, Glen Oaks, NY 11004-1150
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Adam D Fiterstein Emergency Medicine Prohealth Urgent Care Medicine Pllc 255 Union Tpke, Glen Oaks, NY 11004
Justin D Mazur Emergency Medicine Prohealth Urgent Care Medicine Pllc 255 Union Tpke, Glen Oaks, NY 11004
Mark J Aronson Podiatry 7651 263rd St, Floral Park, NY 11004-1142
Stewart D Lipner Psychologist, Clinical North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Virginia B Coman Nurse Practitioner North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Eric L Chen Hospitalist North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Delores B Foster Nurse Practitioner North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Robert Dicker Psychiatry North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Paulo Estioko Psychiatry North Shore-lij Medical PC 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150
Karen M Kostroff Surgical Oncology 75 -59, Glen Oaks, NY 11004-1150
Find all physicians in zip 11004

Competitor

Search similar physicians

City GLEN OAKS
Zip Code 11004
Specialty NURSE PRACTITIONER
City + Specialty GLEN OAKS + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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