Active NPI
Susie Forbes, M.B.,B.S.
- Nuclear Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 304676
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9000
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 304676 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
561 Schaefer Ave
Oradell, NJ 07649-2517
Phone (551) 497-9215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
1421 3Rd Ave
New York, NY 10028-1899
Phone (212) 744-5538
561 Schaefer Ave
Oradell, NJ 07649-2517
Phone (516) 405-7000
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
- John T Mather Memorial Hospital of Port Jefferson
- NS/Lij HS Huntington Hospital
- Plainview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304676 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Nuclear Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Nuclear Medicine | Current | Accepting new patients |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Southampton Radiology PC | Past | Accepting new patients |
Locations (25 of 43)
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
440 E Main St
#D
Bay Shore, NY 11706
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
480 Bedford Rd
Ste 1
Chappaqua, NY 10514
11 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 269-1990
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
711 Stewart Ave
Garden City South, NY 11530
Phone (516) 227-3254
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
10 Medical Plz
Ste 106
Glen Cove, NY 11542
935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414
611 Northern Blvd
Ste 250
Great Neck, NY 11021
Phone (516) 233-3456
284 Pulaski Rd
#2
Greenlawn, NY 11740
Phone (631) 271-1608
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
620 Main St
Islip, NY 11751
Phone (516) 562-4060
496 County Road 111
Bldg F1
Manorville, NY 11949
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
30 7th Ave
New York, NY 10011
Phone (646) 665-6000
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
200 W 13th St
Fl 5
New York, NY 10011
Phone (646) 665-6784
525 W 36th St
Fl 7
New York, NY 10018
Phone (646) 429-0016
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543
300 Community Dr
Plandome, NY 11030
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- susieforbes@nslijmedgr.allscriptsdirect.net
- sforbes68534@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
NJ
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Nuclear Medicine, NY
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Radiology Clinic/Center
- Southampton, NY
- NPI 1255349239
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1548616147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 SCHAEFER AVE",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076492517",
"telephone_number": "551-497-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "SUSIE",
"credential": "M.B.,B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NY",
"license": "304676",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.