Organization Active NPI

Susan G. Margolis MD PC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1265702054
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
185693 Issued in NY
Legal business name
SUSAN G. MARGOLIS MD PC
Practice address
340 E 49TH St
New York, NY 10017-1697
Phone
(212) 751-5414
Fax
(212) 751-5434
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Susan Gail Margolis, MD
Title
President
Phone
(212) 751-5414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 185693 NY Primary

Addresses

Primary practice location

340 E 49TH St
New York, NY 10017-1697

Mailing address

340 E 49TH St
New York, NY 10017-1697
Phone (212) 751-5414

Other identifiers 2

IdentifierTypeStateIssuer
1558397505OtherNPI INDIVIDUAL PROVIDER
00969264MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1265702054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171697",
            "telephone_number": "212-751-5414",
            "fax_number": "212-751-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171697",
            "telephone_number": "212-751-5414",
            "fax_number": "212-751-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN G. MARGOLIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-751-5414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "185693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER",
            "identifier": "1558397505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969264",
            "state": "NY"
        }
    ],
    "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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.