Individual provider Active NPI

Susan C Lee, M.D.

  • Therapeutic Radiology Physician
  • New York, NY
National Provider Identifier
1225316847
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
282850 Issued in NY
Practice address
535 E 70TH St
Department of Radiology and Imaging
New York, NY 10021-4823
Phone
(212) 606-1936
NPI assigned
Jul 31, 2011
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0000000000 NU
Therapeutic Radiology Physician 2085R0203X 282850 NY Primary

Addresses

Primary practice location

535 E 70TH St
Department of Radiology and Imaging
New York, NY 10021-4823

Mailing address

1161 York Ave
Apt 11M
New York, NY 10065-7940
Phone (908) 227-0176

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
Direct Messaging Address slee53901@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ, FL, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170718000803 NY Practitioner - Diagnostic Radiology 8325333081 Reassigns benefits to 4 organizations
I20171003006116 CT Practitioner - Diagnostic Radiology 8325333081 Reassigns benefits to 1 organization
I20171102001732 NJ Practitioner - Diagnostic Radiology 8325333081
I20200213000629 FL Practitioner - Diagnostic Radiology 8325333081 Reassigns benefits to 3 organizations
I20220401000733 PA Practitioner - Diagnostic Radiology 8325333081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

10618 Deerwood Park Blvd
Suite 4
Jacksonville, FL 32256-8198
Phone (904) 453-8995

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525

243 W 28TH St
Apt 7CS
New York, NY 10001-5993
Phone (908) 227-0173

310 W 41St St
Miami Beach, FL 33140-3603
Phone (305) 532-7460

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

4515 Wiles Rd
Suite 101
Coconut Creek, FL 33073-3414
Phone (954) 686-2559

9050 Pines Blvd
Suite 170
Pembroke Pines, FL 33024-6400
Phone (954) 431-7627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSS-Florida Physicians LLC CurrentSince Jan 6, 2020 Accepting new patients
Bowes Imaging Center, LLC CurrentSince Apr 24, 2026 Accepting new patients
The Medical Imaging Partnership-Jax1 LLC CurrentSince Dec 23, 2024 Accepting new patients
Ny Society for the Relief of the Ruptured & Crippled CurrentSince Jul 1, 2017 Accepting new patients
Bowes Imaging Center LLC. CurrentSince Apr 24, 2026 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP CurrentSince Apr 26, 2024 Accepting new patients
Ultramobile Imaging Inc CurrentSince Aug 2, 2024 Accepting new patients
Impression Imaging LLC CurrentSince Feb 1, 2026 Accepting new patients
QMG, LLC CurrentSince Nov 11, 2024 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Dec 24, 2023 Accepting new patients
Allegheny Clinic Radiology CurrentSince Jan 1, 2022 Accepting new patients
New York Society for the Relief of Ruptured and Crippled Maintaining T Past Accepting new patients

Locations (25 of 43)

1 Blachley Rd
Stamford, CT 06902
Phone (203) 276-2277

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

140 E Ridgewood Ave
Paramus, NJ 07652
Phone (212) 606-1844

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

168 39th St
Brooklyn, NY 11232
Phone (212) 774-2474

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

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

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 351-1925

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 336-5227

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: slee53901@direct.hss.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1225316847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 YORK AVE",
            "address_2": "APT 11M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657940",
            "telephone_number": "908-227-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "address_2": "DEPARTMENT OF RADIOLOGY AND IMAGING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-606-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": "0000000000",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "282850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Department of Radiology and Imaging",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slee53901@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Department of Radiology and Imaging",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Department of Radiology and Imaging",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.