Susan Pauline Welgrin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187440 Issued in NY

Practice address

465 Willis Ave
Williston Park, NY 11596-1724

Phone

(516) 294-3535

Fax

(516) 294-6451

NPI assigned

Aug 15, 2006

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

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

Specialty

Internal Medicine

Education

Albany Medical College of Union University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nassau Immed Med Care PLLC

  • Internal Medicine Physician
  • Williston Park, NY
  • NPI 1255429254
  Medicare reassignment NPD Authorized official
• Sunrise Family Medical, PC

  • Family Medicine Physician
  • Oakdale, NY
  • NPI 1932379914
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518970888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PEPPERMILL RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763106",
            "telephone_number": "516-314-3688",
            "fax_number": "516-294-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WILLIS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961724",
            "telephone_number": "516-294-3535",
            "fax_number": "516-294-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELGRIN",
        "first_name": "SUSAN",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Hongyin Wang, M.D.
• Ling Wang, LAC
• Corrin Wedin
• Craig Lindon Weinstein, L.AC., L.M.T.
• Barbara Susan Weliky, PSY.D.
• Wellness Hani Acupuncture, P.C.
• Wenjuan Acupuncture PC
• Willis Ave RX LTD
• Williston Park Pharmacy Corp.

• Internal Medicine Physician in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.