Individual provider Active NPI

Susie Forbes, M.B.,B.S.

  • Nuclear Medicine Physician
  • Staten Island, NY
National Provider Identifier
1548616147
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
304676 Issued in NY
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

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210521001685 NY Practitioner - Nuclear Medicine 1658612817 Reassigns benefits to 4 organizations
I20220530000060 NJ Practitioner - Nuclear Medicine 1658612817 Reassigns benefits to 2 organizations

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
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

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 Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
304676NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Nuclear Medicine CurrentSince Jul 1, 2021 Accepting new patients
North Shore-Lij Medical PC Nuclear Medicine CurrentSince Jul 28, 2024 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Sep 23, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 28, 2024 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

  • Direct secure messaging: susieforbes@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.