Individual provider Active NPI

Suneye Koohsari, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1356739460
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
277181-1 Issued in NY
Practice address
5 W 37TH St Ste 701
New York, NY 10018-6222
Phone
(212) 651-9197
Fax
(917) 967-9367
NPI assigned
Dec 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 277181-1 NY Primary

Addresses

Primary practice location

5 W 37TH St Ste 701
New York, NY 10018-6222

Mailing address

5 W 37TH St Ste 701
New York, NY 10018-6222
Phone (212) 651-9197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 24, 2023 through Apr 24, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 E 42ND St
New York, NY 10017-5639

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277181-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Medical Weight Loss PC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mount Sinai School of Medicine PastSince Feb 1, 2019 Accepting new patients

Locations

369 Lexington Ave
Rm 12B
New York, NY 10017
Phone (917) 398-3668

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": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1356739460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 37TH ST STE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186222",
            "telephone_number": "212-651-9197",
            "fax_number": "917-967-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 37TH ST STE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186222",
            "telephone_number": "212-651-9197",
            "fax_number": "917-967-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOHSARI",
        "first_name": "SUNEYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "277181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.