SHOSHANA SUSSMAN ANP / GNP BC
NPI 1891381604
Nurse Practitioner - Adult Health in Valley Stream, NY

Active since December 15, 2020
822 GLENRIDGE AVE, VALLEY STREAM, NY 11581(646) 270-7319 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shoshana Sussman Anp / Gnp Bc NPPES

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

SHOSHANA SUSSMAN ANP / GNP BC (NPI 1891381604) is an individual adult health provider in Valley Stream, New York, licensed in New York (307970) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1891381604
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHOSHANA SUSSMANCredential: ANP / GNP BC
Location Address822 GLENRIDGE AVEValley Stream, NY 11581-3019
Mailing Address822 Glenridge AveValley Stream, NY 11581-3019 · (646) 270-7319
Sole ProprietorYes
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
NPI 1891381604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 307970
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 307970 (NY)
822 GLENRIDGE AVE, Valley Stream, NY 11581

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 Shoshana Sussman's NPI number?

The NPI number for Shoshana Sussman is 1891381604. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Shoshana Sussman located?

Shoshana Sussman practices at 822 Glenridge Ave, Valley Stream, NY 11581. The listed phone number is (646) 270-7319.

What is Shoshana Sussman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shoshana Sussman was last updated on December 15, 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.