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

Kinneret Sussman

Individual provider Physician Assistant · NPI 1689239337

Kinneret Sussman is a Physician Assistant in Lake Katrine, New York. Qualified in 2019, 7 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019

Practice location Address checks out

1561 Route 9W
Lake Katrine, NY 12449
Phone: (845) 231-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1689239337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address30 Columbia St, Poughkeepsie, NY 12601-3906

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Katrine