Individual provider Active NPI

Susan E Lechtenstein, D.O.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1255457461
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8763 Issued in FL
Practice address
4410 Sheridan Street
Suite a
Hollywood, FL 33021
Phone
(954) 989-3100
Fax
(954) 989-1180
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8763 FL Primary

Addresses

Primary practice location

4410 Sheridan Street
Suite a
Hollywood, FL 33021

Mailing address

4410 Sheridan St
Suite a
Hollywood, FL 33021-3565
Phone (954) 989-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090821000516 FL Practitioner - Family Practice 2365596517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern Univ College of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Z Steiner DO PAGroup PAC ID 9739127879, 2 clinicians

Practice addresses (Care Compare)

4410 Sheridan St
Suite a
Hollywood, FL 33021-3553
Phone (954) 989-3100

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8763FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Z Steiner DO PA Family Medicine CurrentSince Mar 17, 2012 Accepting new patients

Locations

4410 Sheridan St
Ste A
Hollywood, FL 33021
Phone (954) 989-3100

Interoperability endpoints

  • Direct secure messaging: susanlechtenstein@jzsdopa.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1255457461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 SHERIDAN ST",
            "address_2": "SUITE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213565",
            "telephone_number": "954-989-3100",
            "fax_number": "954-989-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SHERIDAN STREET",
            "address_2": "SUITE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-989-3100",
            "fax_number": "954-989-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHTENSTEIN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.