Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivana Su

Individual provider Physician Assistant · NPI 1528731601

Ivana Su is a Physician Assistant in Astoria, New York. Graduated from George Washington University School of Medicine in 2021, 5 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
George Washington University School of Medicine
In the registry since
2021
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Practice location Address checks out

2510 30th Ave
Astoria, NY 11102-2448
Phone: (718) 932-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1528731601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address2510 30th Ave, Astoria, NY 11102-2448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Astoria