Active NPI
Susan Christine Mueller, M.D.
- Surgery Physician
- Newburgh, NY
National Provider Identifier
1174946073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 170292
- Practice address
- 20 Leslie Rd
Newburgh, NY 12550-1230 - Phone
- (845) 541-0763
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 170292 | NY | |
| Surgery Physician | 208600000X | 170292 | NY | Primary |
Addresses
Primary practice location
20 Leslie Rd
Newburgh, NY 12550-1230
Mailing address
20 Leslie Rd
Newburgh, NY 12550-1230
Phone (845) 541-0763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170292 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1174946073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LESLIE RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501230",
"telephone_number": "845-541-0763",
"fax_number": "845-831-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 LESLIE RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501230",
"telephone_number": "845-541-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "SUSAN",
"middle_name": "CHRISTINE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "170292",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "170292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.