ANNIE SU (NPI# 1740668813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668813 |
| Entity Type | Individual |
| Full Name | ANNIE SU |
| Credential | PA-C |
| Practice Address |
2510 30th Ave Astoria NY 11102-2448 |
| Practice Telephone | 7189321000 |
| Mailing Telephone | 7189321000 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
018531 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194970004 | Annie Ray Su | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2008-11-19 |
| Street Address |
2510 30TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042012 | Joshua Guevarra | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2020-10-30 |
| 1003454117 | Kamilia Ait Belkacem | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-19 |
| 1457999617 | Laura Mackey | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-18 |
| 1114565462 | Jaclyn Cusumano | Pharmacist | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-17 |
| 1104476738 | Gabriel Eugene Spencer | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2019-09-16 |
| 1073162269 | Amy Xu | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-09-10 |
| 1912551235 | Ashley Marie Chowdhury | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-07-25 |
| 1457811630 | Yoohyun Kim | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2019-03-22 |
| 1134691637 | Kerstin Connaire | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2018-12-20 |
| 1508334111 | Trishanna Yankannah | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| 1902062524 | Christine Michele Castro | Physician Assistant | 2540 Shore Blvd Apt 12i, Astoria, NY 11102-3949 | 2008-08-04 |
| 1073162269 | Amy Xu | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-09-10 |
| 1801317045 | Nicholas Dellasperanza | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2017-06-28 |
| 1750823936 | Dao Feng Lin | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2016-11-05 |
| 1093162513 | Song Eie Choi | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2016-05-16 |
| 1033123450 | Dennis Crozier | Physician Assistant | 2120 Exchange St Ste 302, Astoria, OR 97103-3364 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
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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.