MRS. SUSAN M AVERSO PNP NPI 1619259942

NPI Information

  • NPI: 1619259942
  • Provider Name: MRS. SUSAN M AVERSO, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 35 LONGWOOD RD
    MIDDLE ISLAND, NY
    ZIP 11953
  • Phone: (631) 924-1000

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NPI Details

MRS. Susan M Averso, PNP is a pediatrics nurse practitioner in Middle Island, NY. MRS. Susan M Averso, PNP NPI is 1619259942. 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:

35 LONGWOOD RD
MIDDLE ISLAND, NY
ZIP 11953-045
Phone: (631) 924-1000
Fax: (631) 924-1243

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.

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
1363LP0200XNurse PractitionerPediatricsF381569-1NEW YORKYes

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: 11/21/2025

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