Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rodelin Mendoza Sumiran, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1790425817

Rodelin Mendoza Sumiran, FNP-BC is a Nurse Practitioner in Latham, New York. Qualified in 2024, 2 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

6 Wellness Way Ste G01
Latham, NY 12110-2135
Phone: (518) 836-3600
Fax: (518) 836-3664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354227 (NY)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 685494 (NY)

Record details

NPI number1790425817
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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