DR. SUSAN TARA MACKEY (NPI# 1427080563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427080563 |
| Entity Type | Individual |
| Full Name | DR. SUSAN TARA MACKEY |
| Credential | D.C., P.A.-C |
| Practice Address |
181 Bellemeade Rd Ste 6 East Setauket NY 11733-3495 |
| Practice Telephone | 6314442599 |
| Practice Fax Number | 6314441474 |
| Mailing Telephone | 6314442599 |
| Mailing Fax Number | 6314441474 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | X007538-1 | NY | Chiropractic Providers |
| Y | 363A00000X | Physician Assistant | 018994-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 2124488 | 01 | |
| OXFORD | P735820 | 01 | |
| ACN | 605796 | 01 | |
| VYTRA | 80315 | 01 | |
| MDC | 929118N | 01 | |
| NY | WC | C07538-4 | 01 |
| GHI | 859940 | 01 | |
| NY | 6I020569Y06 | 05 | |
| CIGNA | 8675557 | 01 | |
| NY | WC | C0753YM | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Nesconset Highway, Building 9b, Stony Brook, NY 11790 | 6316890049 | 6316890071 |
| 12 Deer Dr, Sound Beach, NY 117891328 | 6317441845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1912530148 | Susan Diane Mackey | Massage Therapist | 5810 Southwyck Blvd Ste 100e, Toledo, OH 43614-1514 | 2020-02-17 |
| 1134251994 | Susan B. Mackey | Specialist/Technologist | 3200 S Water St, Pittsburgh, PA 15203-2307 | 2007-03-09 |
| 1003961855 | Susan Mackey | Psychologist | 9239 Gross Point Rd, Suite 200c, Skokie, IL 60077-1389 | 2007-01-24 |
| 1457341190 | Susan Eades Mackey | Obstetrics & Gynecology | 2201 Murphy Ave, Suite 110, Nashville, TN 37203-1835 | 2005-10-25 |
| Street Address |
181 BELLEMEADE RD STE 6 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518255181 | Lauren Victoria Deniro | Psychiatry & Neurology | 181 Bellemeade Rd Ste 6, East Setauket, NY 11733-3495 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773361 | Julia Elizabeth Bassi | Physician Assistant | 23 Caleb Brewster Rd, East Setauket, NY 11733-3703 | 2019-04-22 |
| 1366843781 | Haley Anne Riordan | Physician Assistant | 14 Technology Dr Ste 11, East Setauket, NY 11733-3464 | 2014-09-05 |
| 1174793491 | Melissa Lavoie | Physician Assistant | 181 Belle Mead Road, Suite 5, East Setauket, NY 11733 | 2008-03-03 |
| 1417150699 | Eugene Downs | Physician Assistant | 91 Krispin Ln, East Setauket, NY 11733-1025 | 2007-06-06 |
| 1295290013 | Arielle Demarco | Physician Assistant | 14 Technology Dr, East Setauket, NY 11733-3472 | 2019-02-06 |
| 1952891558 | Ramina Roshan | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-05-18 |
| 1316450240 | Lisa Rizzuto | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-11-14 |
| 1336509553 | Ryan Hofmann | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2016-03-01 |
| 1053719740 | Maria Joana Rizza Relevo Rosas | Physician Assistant | 14 Technology Dr, Suite 11, 12, 15, East Setauket, NY 11733-3472 | 2014-12-11 |
| 1063840866 | David Christopher Cesarino | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-10-15 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.