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

Shawn James Sussman

Individual provider Physician Assistant · NPI 1679592182

Shawn James Sussman is a Physician Assistant in Merrick, New York. Qualified in 1996, 30 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2821 Riverside Ave
Merrick, NY 11566-4940
Phone: (516) 663-2384
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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 5870 (NY)

Record details

NPI number1679592182
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJune 28, 2023
Mailing address2821 Riverside Ave, Merrick, NY 11566-4940

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Merrick