Lina Souleiman Saab, NP
Individual provider Active NPI Nurse Practitioner · Newyork, NY
NPI 1386697241 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1386697241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F334549 (NY)
- Practice address
- 1275 67 Stresst
Memorial Sloan Kettering Cancer Center
Newyork, NY 10021 - Phone
- (212) 639-6093
- Fax
- (212) 717-3370
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Cardiopulmonary Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 89.1
- Improvement activities
- 40
- Cost
- 63.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060621000307 | NY | Practitioner - Nurse Practitioner | 4183636806 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334549 | NY | MD | Hospitalist Physician |
| F334549 | NY | MD | Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Cardiopulmonary Group | Current |
Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lsaab95836@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334549 | NY | Yes |
Addresses
Primary practice location
1275 67 Stresst
Memorial Sloan Kettering Cancer Center
Newyork, NY 10021
Mailing address
1275 67 Street
Memorial Sloan Kettering Cancer Center
Newyork, NY 10021
Phone (212) 639-6093
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.