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

Mrs. Susamma Thomas Idicula, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1720387343

Mrs. Susamma Thomas Idicula, ANP is an Adult Health Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

120 W 106 Street The Jewish Home & Hospital
New York, NY 10025-0000 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 870-5000
Fax: (212) 870-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305565-1 (NY)

Record details

NPI number1720387343
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMarch 22, 2011
Last updated in NPPESMarch 22, 2011

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients175
Services billed 1,010 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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