Individual provider Active NPI

Susanna Pfefferblit, MD

  • Emergency Medicine Physician
  • Flushing, NY
National Provider Identifier
1285667899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
194042 Issued in NY
Practice address
Flushing Hospital and Medical Center
4500 Parsons Boulevard
Flushing, NY 11355
Phone
(718) 670-5000
Fax
(610) 617-6280
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 194042 NY Primary

Addresses

Primary practice location

Flushing Hospital and Medical Center
4500 Parsons Boulevard
Flushing, NY 11355

Mailing address

Flushing Hospital and Medical Center
PO Box 13700-1420
Philadelphia, PA 19191-1420
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
01642497MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070830000552 NY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5496848822 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Dec 1, 2006 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Flushing Hospital Medical Center CurrentSince Dec 1, 2006 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

4500 Parsons Blvd
#306
Flushing, NY 11355

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285667899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLUSHING HOSPITAL AND MEDICAL CENTER",
            "address_2": "PO BOX 13700-1420",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191911420",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLUSHING HOSPITAL AND MEDICAL CENTER",
            "address_2": "4500 PARSONS BOULEVARD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-670-5000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFERBLIT",
        "first_name": "SUSANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "194042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01642497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.