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

Individual provider Nurse Practitioner · NPI 1487711636

Susan Phelan, PHDNP is a Nurse Practitioner in Port Jefferson, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
31
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

251 E Oakland Ave Ste 2A
Port Jefferson, NY 11777-2602
Phone: (631) 760-1830
Fax: (631) 509-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F4001481 (NY)

Record details

NPI number1487711636
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDNP
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address251 E Oakland Ave Ste 2a, Port Jefferson, NY 11777-2602

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson