SUSAN MARTELLO-GILL MSN FNP PMHNP NPI 1598087363

NPI Information

NPI: 1598087363
Provider Name: SUSAN MARTELLO-GILL, MSN, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1414 WANTAGH AVE
WANTAGH, NY
ZIP 11793
Phone: (516) 221-2123
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Susan Martello-gill, MSN, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Wantagh, NY. Susan Martello-gill, MSN, FNP, PMHNP NPI is 1598087363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1414 WANTAGH AVE
WANTAGH, NY
ZIP 11793-204
Phone: (516) 221-2123

The NPI 1598087363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2010 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		F381822-1	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	F381822-1	NEW YORK	No
3	364SP0200X	Clinical Nurse Specialist	Pediatrics	F381822	NEW YORK	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	401234	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03385595	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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