Individual provider Active NPI

Susan Elizabeth Tansil, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1093949182
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268399 Issued in NY
Practice address
142 Joralemon St Ste 5F
Brooklyn, NY 11201-4709
Phone
(917) 426-4682
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 268399 NY Primary

Addresses

Primary practice location

142 Joralemon St Ste 5F
Brooklyn, NY 11201-4709

Mailing address

142 Joralemon St Ste 5F
Brooklyn, NY 11201-4709
Phone (917) 426-4682

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
I20180514000200 NY Practitioner - Psychiatry 6103060611 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John T Mather Memorial HospitalGroup PAC ID 1254237753, shared by 6 NPIs, 176 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

170 N Country Rd
Suite 3
Port Jefferson, NY 11777-2606
Phone (631) 928-3122

27005 76TH Ave
Suite 222
New Hyde Park, NY 11040-1402
Phone (718) 470-7260

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268399NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 30, 2018 Accepting new patients
Albany Medical College CurrentSince Mar 2, 2024 Accepting new patients
Albany Medical College Psychiatry CurrentSince Mar 2, 2024 Accepting new patients
John T. Mather Memorial Hospital Psychiatry CurrentSince Sep 12, 2022 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Sep 12, 2022 Accepting new patients
Albany Medical College CurrentSince Mar 2, 2024 Accepting new patients
John T. Mather Memorial Hospital Psychiatry Current Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260

300 Community Dr
Plandome, NY 11030

70 N Country Rd
Ste 205
Port Jefferson, NY 11777
Phone (631) 686-1414

170 N Country Rd
Ste 3
Port Jefferson, NY 11777
Phone (631) 775-2426

125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: stansil68302@northwell.direct-ci.com
  • Direct secure messaging: stansil4773834@nychhc.direct-ci.com

Organizations & group practices 8

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1093949182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "917-426-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "917-426-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSIL",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.