Individual provider Active NPI

Susan Lisa Ungar, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1215904032
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
191425 Issued in NY
Practice address
135 W 70TH St
Suite 1K
New York, NY 10023-4458
Phone
(212) 787-7546
Fax
(212) 787-7545
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 191425 NY Primary

Addresses

Primary practice location

135 W 70TH St
Suite 1K
New York, NY 10023-4458

Mailing address

135 W 70TH St
Suite 1K
New York, NY 10023-4458
Phone (212) 787-7546

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
I20031215000022 NY Practitioner - DermatologyPractitioner - Pediatric Medicine 5698672194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
State University of New York Downstate Medical Center, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 W End Ave
Apt 1a
New York, NY 10023-5725
Phone (212) 787-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions429
Removal of nail tissue1-10
Skin biopsy92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191425NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan L. Ungar, M.D., P.C. Dermatology CurrentSince Jan 1, 2007 Accepting new patients

Locations

2 W 86th St
Apt 4
New York, NY 10024
Phone (212) 721-9200

135 W 70th St
Apt 1K
New York, NY 10023
Phone (212) 787-7546

150 W End Ave
Apt 1A
New York, NY 10023
Phone (212) 787-7546

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1215904032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 70TH ST",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234458",
            "telephone_number": "212-787-7546",
            "fax_number": "212-787-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 70TH ST",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234458",
            "telephone_number": "212-787-7546",
            "fax_number": "212-787-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR",
        "first_name": "SUSAN",
        "middle_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "191425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.