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MS. SUSIE GLADDEN
NPI 1780280552
Licensed Practical Nurse in Patchogue, NY

Active since December 08, 2020
1 PARK AVE APT 5, PATCHOGUE, NY 11772(631) 310-2296 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Susie Gladden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSIE GLADDEN (NPI 1780280552) is an individual licensed practical nurse in Patchogue, New York, licensed in New York (331961) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1780280552
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SUSIE GLADDEN
Location Address1 PARK AVE APT 5Patchogue, NY 11772-2274
Mailing Address1 Park Ave Apt 5Patchogue, NY 11772-2274 · (631) 310-2296
Phone(631) 310-2296
Sole ProprietorNo
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1780280552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 331961
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1 PARK AVE APT 5, Patchogue, NY 11772
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Other Identifiers 1

Medicaid331961NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Gladden's NPI number?

The NPI number for Susie Gladden is 1780280552. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Susie Gladden located?

Susie Gladden practices at 1 Park Ave Apt 5, Patchogue, NY 11772. The listed phone number is (631) 310-2296.

What is Susie Gladden's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susie Gladden was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.