SUSAN MARIE TRAVIS (NPI# 1104823863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104823863 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE TRAVIS |
| Credential | CPNP |
| Practice Address |
35 S Riverside Ave The Westchester Medical Practice PC Croton On Hudson NY 10520-2653 |
| Mailing Address |
50 Dayton Lane, Suite 202 The Westchester Medical Practice PC Peekskill NY 10566 |
| Practice Telephone | 9142712424 |
| Practice Fax Number | 9142712172 |
| Mailing Telephone | 9147390087 |
| Mailing Fax Number | 9147371714 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381651-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890746 | Susan Ray Travis | Technician | 10172 Route 152, Wayne, WV 25570-5859 | 2020-10-29 |
| 1164555256 | Susan L. Travis | Counselor | 31 Laveta Pl, Nyack, NY 10960-1603 | 2007-03-14 |
| 1649427261 | Susan Edith Travis | Dietitian, Registered | 202 E State St, Suite 402, Ithaca, NY 14850-5551 | 2008-08-26 |
| 1437168200 | Susan F Travis | Pediatrics | 1012 Laurel Oak Rd, Specialty Center At Voorhees, Voorhees, NJ 08043-3505 | 2006-08-07 |
| Street Address |
35 S RIVERSIDE AVE THE WESTCHESTER MEDICAL PRACTICE PC |
| City | CROTON ON HUDSON |
| State | NY |
| Zip Code | 10520-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811288996 | Salvatore Pasquale Md PC | Internal Medicine | 35 S Riverside Ave, Suite 103, Croton On Hudson, NY 10520-2653 | 2011-04-25 |
| 1003041757 | Nicole Stephanie Belkin | Orthopaedic Surgery | 35 S Riverside Ave, Croton On Hudson, NY 10520-2653 | 2009-05-26 |
| 1538302310 | Alexis Noelle Oliveros | Internal Medicine | 35 S Riverside Ave, The Westchester Medical Practice PC, Croton On Hudson, NY 10520-2653 | 2009-04-09 |
| 1255590295 | Eun Soo Kwak-peacock | Internal Medicine | 35 S Riverside Ave, Croton On Hudson, NY 10520-2653 | 2008-06-05 |
| 1740481696 | Mary Ellen Stavitz | Nurse Practitioner | 35 S Riverside Ave, The Westchester M,edical Practice PC, Croton On Hudson, NY 10520-2653 | 2007-05-29 |
| 1851447395 | Neil Curtis Goldman | Allergy & Immunology | 35 S Riverside Ave, Ste 106, Croton On Hudson, NY 10520-2653 | 2007-01-26 |
| 1952482143 | Salvatore J Pasquale | Internal Medicine | 35 S Riverside Ave, Mount Kisco Medicla Group, PC, Croton On Hudson, NY 10520-2653 | 2006-10-17 |
| 1235221300 | Lawrence Baskind | Pediatrics | 35 S Riverside Ave, The Westchester Medical Practice PC, Croton On Hudson, NY 10520-2653 | 2006-09-28 |
| 1851483903 | Riverside Pediatrics | Pediatrics | 35 S Riverside Ave, Croton On Hudson, NY 10520-2653 | 2006-09-28 |
| 1740396993 | Hudson Valley Asthma and Allergy Associates PC | Allergy & Immunology | 35 S Riverside Ave, Suite 106, Croton On Hudson, NY 10520-2653 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902569 | Emily Hoffman | Student in an Organized Health Care Education/Training Program | 34 Palmer Avenue, Croton-on-hudson, NY 10520 | 2019-10-01 |
| 1790290534 | Compass Psychiatric Np, PC | Nurse Practitioner | 420 South Riverside Ave, #283, Croton-on-hudson, NY 10520 | 2017-12-01 |
| 1942696075 | Ayo Moses | Family Medicine | 440 South Riverside Avenue, Caremount Medical PC, Croton On Hudson, NY 10520 | 2015-04-15 |
| 1265774061 | Panchetia Williams | Registered Nurse | 11-d Skytop Drive, Springval Apt, Croton On Hudson, NY 10520 | 2013-03-20 |
| 1740532951 | Ellen Marie Sandoval | Pediatrics | 35 South Riverside Avenue, The Westchester Medical Pratice PC, Croton-on-hudson, NY 10520 | 2012-10-11 |
| 1073879953 | John F. Masloski | Preventive Medicine | 2134 Quaker Ridge Rd, Croton-on-hudson, NY 10520 | 2012-04-05 |
| 1295064533 | Robert Henry Milich | Psychologist | 126 Grand Street, Croton On Hudson, NY 10520 | 2009-12-16 |
| 1538496898 | Michelle Anne Lisowski | Speech-Language Pathologist | 1392 Albany Post Road, Croton On Hudson, NY 10520 | 2009-11-06 |
| 1427282292 | Kristin M. Gallagher | Physical Therapist | Community Locations, Westchester County, Croton On Hudson, NY 10520 | 2009-05-08 |
| 1780837831 | Julia Ciobuca | Physical Therapist | 8 Crest Street, Croton On Hudson, NY 10520 | 2008-11-02 |
| Find all providers in zip 10520 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770898694 | Jennifer Constance Mckenna | Nurse Practitioner | 1 Baltic Pl Ste 201a, Croton On Hudson, NY 10520-1641 | 2010-08-16 |
| 1740481696 | Mary Ellen Stavitz | Nurse Practitioner | 35 S Riverside Ave, The Westchester M,edical Practice PC, Croton On Hudson, NY 10520-2653 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | CROTON ON HUDSON |
| Zip Code | 10520 |
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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.