Active NPI
Suzanne L Wolden, MD
- Radiation Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 210090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 29.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.02 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Radiation Oncology | Current | Accepting new patients |
| The New York Proton Center | Radiation Oncology | Current | Accepting new patients |
| MSK Monmouth | Radiation Oncology | Current | Accepting new patients |
| MSK Bergen | Radiation Oncology | Current | Accepting new patients |
| Memorial Radiation Oncology Group | Radiation Oncology | Current | Accepting new patients |
| Mskcc Regional Network | Radiation Oncology | Current | 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
- swolden39433@mskcc.direct-ci.com
- 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.
-
- Radiation Oncology Physician
- New York, NY
- NPI 1235109224
-
- Radiation Oncology Clinic/Center
- New York, NY
- NPI 1609363670
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
Radiation Oncology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.