MS. SUSIE MIN (NPI# 1982031969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982031969 |
| Entity Type | Individual |
| Full Name | MS. SUSIE MIN |
| Credential | PA |
| Practice Address |
5141 Broadway New York NY 10034-1159 |
| Mailing Address |
17 South Dr New Hyde Park NY 11040-2240 |
| Practice Telephone | 2129324000 |
| Mailing Telephone | 5165789957 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017099 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114294360 | Susie Min | Pharmacist | 342 E Illinois St, Chicago, IL 60611-4304 | 2011-11-16 |
| Street Address |
5141 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677427 | Donald Matthew Kim | Internal Medicine | 5141 Broadway, Rm 2-095, New York, NY 10034-1159 | 2005-08-29 |
| 1063011534 | Rabiah Arooj Toppa | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-25 |
| 1952900599 | Renee Elizabeth Alexander | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-24 |
| 1548870967 | Julie Abraham | Occupational Therapist | 5141 Broadway, New York, NY 10034-1159 | 2020-08-01 |
| 1215551312 | Alana Ruth Ribowsky | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-06-04 |
| 1508492588 | Joshua Silberbush | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-03-21 |
| 1760015275 | Susan Marie Konish | Nurse Practitioner | 5141 Broadway, New York, NY 10034-1159 | 2020-02-13 |
| 1508497884 | Darya Korshukova | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-01-27 |
| 1447896196 | Diana Kim | Pharmacist | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| 1386289007 | Elizabeth Catherine Medina | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
| Find all providers in zip 10034 | ||||
| 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 |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
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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.