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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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