MRS. SUZANNE MARGARET KONTAK PMHNP-BC ANP-C RN NPI 1972915387

NPI Information

NPI: 1972915387
Provider Name: MRS. SUZANNE MARGARET KONTAK, PMHNP-BC, ANP-C, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
939 JOHNSON AVE
RONKONKOMA, NY
ZIP 11779
Phone: (631) 471-7242
Get Directions

MRS. Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN is a psychiatric/mental health nurse practitioner in Ronkonkoma, NY. MRS. Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN NPI is 1972915387. 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:

939 JOHNSON AVE
RONKONKOMA, NY
ZIP 11779-066
Phone: (631) 471-7242
Fax: (631) 471-5150

The NPI 1972915387 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 5/20/2014 and was last updated on 1/7/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	F306884-1	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F402191-1	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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