Individual provider Active NPI

Susan E Hong, OD

  • Optometrist
  • Rockaway Park, NY
National Provider Identifier
1003910258
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0068431 Issued in NY
Practice address
11310 Beach Channel Dr
Rockaway Park, NY 11694-2209
Phone
(718) 474-1234
Fax
(718) 945-5809
NPI assigned
Sep 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0068431 NY Primary

Addresses

Primary practice location

11310 Beach Channel Dr
Rockaway Park, NY 11694-2209

Mailing address

220 Madison Avenue
New York City, NY 10016-3422
Phone (212) 683-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000509 NY Practitioner - Optometry 7618929571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Overstock Goods Liquidators IncGroup PAC ID 1052669942, 3 clinicians

Practice addresses (Care Compare)

1511 Fulton St
Apt 1
Brooklyn, NY 11216-5352
Phone (347) 770-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0068431NYMDOptometrist
006843NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye and Health Tribeca Inc Optometrist CurrentSince Aug 3, 2025 Accepting new patients
Overstock Goods Liquidators Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Maayan Keshet MD PC CurrentSince Mar 2, 2022 Accepting new patients
Harbor Optics Inc Optometrist CurrentSince Jan 10, 2017 Accepting new patients

Locations

330 W 58th St
Ste 600
New York, NY 10019
Phone (212) 204-0600

11310 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 474-1234

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1003910258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MADISON AVENUE",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100163422",
            "telephone_number": "212-683-7330",
            "fax_number": "212-683-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942209",
            "telephone_number": "718-474-1234",
            "fax_number": "718-945-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-09",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0068431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.