Susie Chen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA07573500 Issued in NJ

Practice address

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone

(908) 522-2065

Fax

(908) 522-5763

NPI assigned

Aug 3, 2006

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: ssc9019@direct.nyp.org

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

• Ancillary Services of Practice Associates PA

  dba AMG Radiology

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1144858408
  Medicare reassignment NPD
• Columbia/Newyork-Presbyterian Advanced Imaging Inc.

  • Specialist
  • New York, NY
  • NPI 1356171797
  Medicare reassignment NPD
• Columbiadoctors/Newyork-Presbyterianimaging

  • Specialist
  • New York, NY
  • NPI 1902345986
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  dba Columbia Presbyterian Radiologists

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1467560854
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347
  Medicare reassignment NPD
• Atlantic Imaging Services LLC

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1972114361
  NPD
• Hunterdon Ambulatory Services LLC

  dba Hunterdon Advanced Imaging at Bridgewater

  • Radiology Clinic/Center
  • Bridgewater, NJ
  • NPI 1184149031
  NPD
• Women's Healthcare Imaging, Corp.

  • Radiology Clinic/Center
  • Union, NJ
  • NPI 1285880153
  NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488

  Diagnostic Radiology

  NPD
• Trustees of Columbia University in the City of New York

  dba Columbia Endovascular Associates

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1992816011
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1073520664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412826",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412526",
            "telephone_number": "610-892-8889",
            "fax_number": "484-446-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-2065",
            "fax_number": "908-522-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W 168th St # Mc28",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323725",
            "country_code": "US",
            "telephone_number": "212-305-1948",
            "fax_number": "212-305-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SUSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07573500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "240269-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "W35021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "02186203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chatham Psychiatric Group, P.a.
• Tahani Chaudhry, PHD
• Jayshree Chauhan, DO
• Chaw Wealth New Jersey LLC (Walkwell Shoes)
• James Chen, M.D.
• Chui Yi Charies Cheng, APN
• Rogelio Cheng, CRNA
• John Anthony Chiaramonte, LCSW
• Evelyn H Chiu, D. D. S. , PH. D.
• Edward Cho, MD

• Diagnostic Radiology Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.