Individual provider Active NPI

Suzanne L Wolden, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1265402473
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
210090 Issued in NY
Practice address
1275 York Ave
New York, NY 10021-6007
Phone
(212) 639-5148
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 210090 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10021-6007

Mailing address

1275 York Ave
Box 3
New York, NY 10065-6007
Phone (212) 639-5148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091217000037 NY Practitioner - Radiation Oncology 7911047287 Reassigns benefits to 3 organizations
I20130809000528 NJ Practitioner - Radiation Oncology 7911047287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Radiation Oncology GroupGroup PAC ID 8527957091, 92 clinicians
The New York Proton CenterGroup PAC ID 2466780218, 45 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

225 E 126TH St
New York, NY 10035-1406
Phone (646) 968-9064

Merit-based Incentive Payment System (MIPS)

Final score
43.79 of 100Reported as group
Quality
29.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
93.67
Improvement activities
40
Cost
71.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
The New York Proton Center Radiation Oncology CurrentSince Jul 9, 2019 Accepting new patients
MSK Monmouth Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
MSK Bergen Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
Memorial Radiation Oncology Group Radiation Oncology CurrentSince Jan 1, 1994 Accepting new patients
Mskcc Regional Network Radiation Oncology CurrentSince Aug 22, 2009 Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

103 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 357-2600

650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

1275 York Ave
#3
New York, NY 10065

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

633 3rd Ave
#232
New York, NY 10017
Phone (212) 639-7203

1275 York Ave
#G
New York, NY 10065
Phone (212) 639-5905

Networks

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

Interoperability endpoints

  • Direct secure messaging: swolden39433@mskcc.direct-ci.com
  • Direct secure messaging: suzannewolden@nypc.allscriptsdirect.net

Organizations & group practices 6

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1265402473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "BOX 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216007",
            "telephone_number": "212-639-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEN",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "210090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.