Individual provider Active NPI

Susan Diane Fromer, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1508949603
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
173967 Issued in NY
Practice address
550 Park Ave
New York, NY 10021-7369
Phone
(212) 832-9228
Fax
(212) 751-9482
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 173967 NY Primary

Addresses

Primary practice location

550 Park Ave
New York, NY 10021-7369

Mailing address

10933 71St Rd
Suite 2C
Forest Hills, NY 11375-4850
Phone (718) 261-3366

Other identifiers 1

IdentifierTypeStateIssuer
01839629MedicaidNY

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
I20040419001754 NY Practitioner - Ophthalmology 1153316963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 Park Ave
New York, NY 10065-7369

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
97.04
Promoting interoperability
97
Improvement activities
40
Cost
58.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Fromer, MD PC Ophthalmology PastSince Aug 1, 2003 Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sfromer68893@northwell.direct-ci.com

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1508949603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10933 71ST RD",
            "address_2": "SUITE 2C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754850",
            "telephone_number": "718-261-3366",
            "fax_number": "718-261-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217369",
            "telephone_number": "212-832-9228",
            "fax_number": "212-751-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMER",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "173967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.