Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Suzanne Nicole Fanelli, RPA-C

Individual provider Physician Assistant · NPI 1588712699

Mrs. Suzanne Nicole Fanelli, RPA-C is a Physician Assistant in Massapequa, New York. Qualified in 2004, 22 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

18 Swan Dr
Massapequa, NY 11758-7929
Phone: (516) 308-4955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010179 (NY)

Record details

NPI number1588712699
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJanuary 3, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Massapequa