Individual provider Active NPI

Shushan Hovanesian

  • Psychiatry Physician
  • Jamaica, NY
National Provider Identifier
1205973807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
241787 Issued in NY
Practice address
8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone
(718) 206-6290
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 241787 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Jamaica, NY 11418-2897

Mailing address

8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone (718) 206-6290

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
I20080613000282 NY Practitioner - Psychiatry 2668543968 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

285 Sills Rd
BLDG 14
East Patchogue, NY 11772-4851
Phone (516) 877-2626

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241787NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 6, 2022 Accepting new patients
Jamaica Psychiatric Services, PC CurrentSince Jan 29, 2007 Accepting new patients
The Long Island Home CurrentSince Sep 15, 2018 Accepting new patients
The Long Island Home CurrentSince Sep 15, 2018 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Psychiatry CurrentSince May 19, 2016 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince May 19, 2016 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Sep 21, 2021 Accepting new patients
New York University CurrentSince Nov 6, 2022 Accepting new patients
Advanced Center for Psychotherapy, Inc. CurrentSince May 1, 2015 Accepting new patients
Better Health NP in Adult Health PC Past Accepting new patients
Jamaica Hospital Past Accepting new patients
Isak Isakov Medical, PC Psychiatry Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

285 Sills Rd
Bldg 14
East Patchogue, NY 11772
Phone (631) 447-8300

9009 Van Wyck Expy
Jamaica, NY 11435
Phone (718) 206-5575

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: shovanesian509107@nyumc.direct-ci.com
  • Direct secure messaging: shovanesian4468368@nychhc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205973807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANESIAN",
        "first_name": "SHUSHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "241787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.