Active NPI
Susan H Wasserman, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 162431
- Practice address
- 560 Northern Blvd
Great Neck, NY 11021 - Phone
- (516) 466-6165
- Fax
- (516) 466-6246
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 162431 | NY | Primary |
Addresses
Primary practice location
560 Northern Blvd
Great Neck, NY 11021
Mailing address
560 Northern Blvd
Great Neck, NY 11021
Phone (516) 466-6165
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Icahn School of Medicine at Mount Sinai, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
560 Northern Blvd
Great Neck, NY 11021-5113
560 Northern Blvd
Suite 207
Great Neck, NY 11021-5100
Phone (516) 466-6165
Hospital & facility affiliations
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrine Associates of Nassau &Queens,P.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
560 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 466-6165
560 Northern Blvd
Ste 207
Great Neck, NY 11021
Phone (516) 466-1713
560 Northern Blvd
Great Neck, NY 11021
Phone (516) 466-6165
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Great Neck, NY
- NPI 1518902915
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
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": "1183852800000",
"number": "1073589438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-466-6165",
"fax_number": "516-466-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-466-6165",
"fax_number": "516-466-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "SUSAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "162431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.