Susan Beth Maisey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

220849 Issued in NY

Practice address

21 Orchard St
Middletown, NY 10940-5004

Phone

(845) 343-7614

Fax

(845) 343-5390

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
• Direct secure messaging: susanmaisey@mai.allscriptsdirect.net
• Direct secure messaging: susan.maisey.p1@direct.cmcentersinc.nextgenshare.com

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.

• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  Pediatrics

  Medicare reassignment NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  Medicare reassignment NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD
• Newark Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Beth Israel Medical Center

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1740378421

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1467687210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ORCHARD ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405004",
            "telephone_number": "845-343-7614",
            "fax_number": "845-343-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ORCHARD ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405004",
            "telephone_number": "845-343-7614",
            "fax_number": "845-343-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEY",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "220849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hafsa Mahmood, MD
• Saeed Ahsen Mahmood, MD
• Shanza Khan Mahmood, M.D.
• Mary T Mahoney, MD
• Larissa Paige Maier
• Carol E Majewski
• Umair S Majoka, MD
• Abigail Elizabeth Malara
• Lori Malara
• Sandeep Malhotra, MD

• Pediatrics Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.