Individual provider Active NPI

Susan W McCarthy, MD

  • Pediatrics Physician
  • Rockville Centre, NY
National Provider Identifier
1023084407
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
175055 Issued in NY
Practice address
100 Merrick Rd Ste 102E
Rockville Centre, NY 11570-4832
Phone
(516) 277-2060
Fax
(516) 277-2058
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 175055 NY Primary

Addresses

Primary practice location

100 Merrick Rd Ste 102E
Rockville Centre, NY 11570-4832

Mailing address

100 Merrick Rd Ste 102E
Rockville Centre, NY 11570-4832
Phone (516) 277-2060

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319000390 NY Practitioner - Pediatric Medicine 1456613108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
175055NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Apr 30, 2018 Accepting new patients

Locations

260 Main St
Islip, NY 11751
Phone (516) 596-3277

300 Community Dr
Plandome, NY 11030

100 Merrick Rd
Ste 102E
Rockville Centre, NY 11570
Phone (516) 277-2058

2000 N Village Ave
Ste 409
Rockville Ctr, NY 11570
Phone (516) 255-2939

Interoperability endpoints

  • Direct secure messaging: susanmccarthy@nslijmedgr.allscriptsdirect.net

Organizations & group practices 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1023084407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 102E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704832",
            "telephone_number": "516-277-2060",
            "fax_number": "516-277-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 102E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704832",
            "telephone_number": "516-277-2060",
            "fax_number": "516-277-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "SUSAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "175055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.