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

Susan M Dreiss-Carroll, RPA-C

Individual provider Medical Physician Assistant · NPI 1740288398

Susan M Dreiss-Carroll, RPA-C is a Physician Assistant in Pomona, New York. Qualified in 1998, 28 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
28
Licensed in
NJ, NY
In the registry since
2005
Specialties on file
2

Practice location Address checks out

5A Medical Park Dr
Pomona, NY 10970-3516
Phone: (845) 362-0075
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006895 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00303300 (NJ)

Record details

NPI number1740288398
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESJanuary 25, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pomona