Dr. Susan Tara Mackey, D.C., P.A.-C
Dr. Susan Tara Mackey is a Physician Assistant provider (Physician Assistant) practicing in Patchogue, NY, registered in the NPPES registry with NPI 1427080563 since 2006. The credential DC stands for Doctor of Chiropractic. Practices at South Shore Neurologic Associates PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1427080563 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Susan Tara Mackey |
| Credential | D.C., P.A.-C |
| Sex | Female |
| Practice address | Patchogue, NY, 11772 |
| Phone | 6317581910 |
| Fax | 6317582371 |
| Enumeration date | 2006-07-07 |
| Last updated in NPPES | 2024-04-18 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Secondary | X007538-1 | NY |
| 363A00000X | Physician Assistant | Primary | 018994-1 | NY |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P735820 | Other | — | OXFORD |
| C07538-4 | Other | NY | WC |
| C0753YM | Other | NY | WC |
| 605796 | Other | — | ACN |
| 929118N | Other | — | MDC |
| 80315 | Other | — | VYTRA |
| 859940 | Other | — | GHI |
| 8675557 | Other | — | CIGNA |
| 2124488 | Other | — | AETNA |
| 6I020569Y06 | Medicaid | NY | — |
Copy-ready billing details
Provider: Susan Mackey, D.C., P.A.-C NPI: 1427080563 Taxonomy: 363A00000X (Physician Assistant) Address: Patchogue, NY, 11772
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114900925 | Bonnie Rosen | Individual | Diagnostic Radiology Physician | Patchogue, NY |
| 1104922244 | Lisa Hodge-Scelsa | Individual | Adult Health Nurse Practitioner | Patchogue, NY |
| 1437228632 | Amy Rafuse | Individual | Physical Therapist | Patchogue, NY |
| 1437222197 | Elisa Procaccini | Individual | Physical Therapist | Patchogue, NY |
| 1083782460 | South Shore Neurologic Associates PC | Organization | Magnetic Resonance Imaging (MRI) Clinic/Center | Patchogue, NY |
| 1508988692 | John Grimaldi | Individual | Physical Therapist | Patchogue, NY |
| 1518180173 | Catherine Augustine | Individual | Physical Therapist | Patchogue, NY |
| 1396071262 | Stacy Trebing | Individual | Physical Therapist | Patchogue, NY |
Verify this record
Cross-check NPI 1427080563 against the authoritative CMS record: view Dr. Susan Tara Mackey on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-18.