Individual provider Active NPI

Rhona S Susser, MD

  • Dermatology Physician
  • East Meadow, NY
National Provider Identifier
1346437183
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
192872 Issued in NY
Practice address
30 Merrick Ave
East Meadow, NY 11554-1579
Phone
(516) 794-7079
Fax
(516) 794-7033
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 192872 NY Primary

Addresses

Primary practice location

30 Merrick Ave
East Meadow, NY 11554-1579

Mailing address

30 Merrick Ave
East Meadow, NY 11554-1579
Phone (516) 794-7079

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
I20111214000098 NY Practitioner - Dermatology 7012182546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Merrick Ave
East Meadow, NY 11554-1580
Phone (516) 794-7079

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal of skin lesions935
Removal of nail tissue1-10
Removal or shaving of skin growth333
Skin biopsy238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192872NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhona S Susser M D P C Dermatology CurrentSince Aug 15, 2001 Accepting new patients

Locations

30 Merrick Ave
Ste 112
East Meadow, NY 11554
Phone (516) 794-7079

Organizations & group practices 1

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1346437183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541579",
            "telephone_number": "516-794-7079",
            "fax_number": "516-794-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541579",
            "telephone_number": "516-794-7079",
            "fax_number": "516-794-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSER",
        "first_name": "RHONA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "192872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.