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DR. SUSAN MARIE STICKEVERS MD
NPI 1912089566
Physical Medicine & Rehabilitation - Pain Medicine in Northport, NY

Active since October 20, 2006PECOS Enrolled
79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400(631) 266-6022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susan Marie Stickevers Md NPPES

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

DR. SUSAN MARIE STICKEVERS MD (NPI 1912089566) is an individual pain medicine provider in Northport, New York, licensed in New York (172707) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912089566
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameDR. SUSAN MARIE STICKEVERSCredential: MD
Location Address79 MIDDLEVILLE RDNorthport, NY 11768-2200
Mailing Address79 Middleville RdNorthport, NY 11768-2200 · (631) 261-4400 · Fax (631) 266-6022
Phone(631) 261-4400
Fax(631) 266-6022
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912089566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 172707
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
79 MIDDLEVILLE RD, Northport, NY 11768
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Marie Stickevers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Stickevers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians Of Brooklyn, Inc.
37 mi
Radiation Oncology
450 CLARKSON AVE, RM ALL1369
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 291 clinicians in this Medicare group
NPI 1467409912 (718) 270-1593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERI MARIE PINELLI LMSW
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
JEANINE MICHELE DELGADO LCSW
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
NELSON BARCELON MD
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
VAMC
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
MS. SANDRA PAIGE SCHLESINGER LCSW-R
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
RICHARD THOMESEN NP
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
MR. JOSEPH LAWRENCE MAGLIULO
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
ANNE LETITIA GUTTING OTR MACHT
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400

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 Susan Stickevers's NPI number?

The NPI number for Susan Stickevers is 1912089566. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Susan Stickevers located?

Susan Stickevers practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Susan Stickevers's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Susan Stickevers enrolled in Medicare?

Yes. Susan Stickevers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Stickevers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Stickevers reassigns Medicare benefits to University Physicians Of Brooklyn, Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Stickevers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Stickevers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.