Susan Ellen Panes, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

183672 Issued in NY

Practice address

32 Village SQ
Glen Cove, NY 11542-2515

Phone

(516) 676-1111

Fax

(516) 676-1366

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 12

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

Specialty

Allergy/Immunology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Associates of Murray Hill PCGroup PAC ID 9638398274, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Allergy & Asthma Associates of Murray Hill, P C

  • Allergy & Immunology Physician
  • New York, NY
  • NPI 1245421171
  Medicare reassignment Care Compare group NPD
• Susan E.Panes, D.O. P.C.

  • Allergy Physician
  • White Plains, NY
  • NPI 1376704007
  Medicare reassignment NPD Authorized official
• Paul B Lang MD PC

  • Allergy & Immunology Physician
  • New Hyde Park, NY
  • NPI 1073503249
  Medicare reassignment NPD
• Allergy & Immunology on Madison 069478

  • Allergy Physician
  • Ny, NY
  • NPI 1821147687
  NPD (past)
• Asthma & Allergy Medical Care PC

  • Allergy & Immunology Physician
  • Huntington, NY
  • NPI 1801982236
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1306831706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-365-6666",
            "fax_number": "516-365-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 VILLAGE SQ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422515",
            "telephone_number": "516-676-1111",
            "fax_number": "516-676-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANES",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "183672",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "183672",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NY",
            "license": "183672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C0754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5605676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "01454H",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6100677",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "183673",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0447024006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1118556",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1049295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "90553",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95G741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "ON13091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1107530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Padyk, LMSW
• Alexis Georgia Pagonis, PT, DPT
• Constance M Painter, PA
• Jessica Palumbo, RD CDN
• Parth Pancholi, MD
• Jancyrus Raymundo Pangan, D.P.T.
• Steven M Pantell, PT
• Noyemie Papaioannou
• Pamela L Papas, M.A. CCC-SLP
• Barbel Paredes

• Allergy & Immunology Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.

Verify at the official NPI Registry.