MS. SUZANNE ENG (NPI# 1104345727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104345727 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE ENG |
| Credential | MA, ATR-BC, LCAT |
| Practice Address |
1080 Wykoff Ave. Suite D4 Ridgewood NY 11385 |
| Mailing Address |
1080 Wyckoff Ave Ste D4 Ridgewood NY 11385-5757 |
| Practice Telephone | (646) 535-0364 |
| Mailing Telephone | 6465350364 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000423 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | ART THERAPY | 82-2786478 | 01 |
| Street Address |
1080 WYKOFF AVE. SUITE D4 |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| 1386167005 | Kristen Naletilic | Specialist | 1835 Summerfield Street, Ridgewood, NY 11385 | 2017-07-25 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003265414 | Catherine A Marsh | Counselor | 1080 Wyckoff Ave # D04, Ridgewood, NY 11385-5757 | 2016-06-07 |
| 1821498254 | Fernando A Uraga Jr. | Counselor | 1731 Grove St, Ridgewood, NY 11385-2155 | 2014-09-04 |
| 1053510354 | Chanel Viviana Tazza | Counselor | 5913 Grove St, Ridgewood, NY 11385-2647 | 2007-07-16 |
| 1992318570 | Faith Thayer | Counselor | 209 S Broad St, Ridgewood, NJ 07450-5031 | 2020-08-25 |
| 1770127037 | Leighann Albanese | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1689218943 | Danielle Chait | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1811124399 | Rachel Blumstein | Counselor | 174 Union St, Ridgewood, NJ 07450-4498 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.