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

Susan Moak, RPA

Individual provider Physician Assistant · NPI 1871837260

Susan Moak, RPA is a Physician Assistant in Liverpool, New York. Qualified in 2012, 14 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

8100 Oswego Rd Ste 220
Liverpool, NY 13090-1654
Phone: (315) 652-6551
Fax: (315) 652-9698
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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 016149 (NY)

Record details

NPI number1871837260
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 30, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Liverpool