Organization Active NPI

Susan L. Ungar, M.D., P.C.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1699981779
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
191425 Issued in NY
Legal business name
SUSAN L. UNGAR, M.D., P.C.
Practice address
135 W 70TH St
Suite 1K
New York, NY 10023-4458
Phone
(212) 787-7546
Fax
(212) 787-7545
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Susan Lisa Ungar, M.D.NPI 1215904032
Title
Sole Owner
Phone
(212) 787-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 191425 NY Primary

Addresses

Primary practice location

135 W 70TH St
Suite 1K
New York, NY 10023-4458

Mailing address

135 W 70TH St
Suite 1K
New York, NY 10023-4458
Phone (212) 787-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071016000004 NY Part B Supplier - Clinic/Group Practice 3072609528 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

135 W 70th St
Apt 1K
New York, NY 10023
Phone (212) 787-7546

150 W End Ave
Apt 1A
New York, NY 10023
Phone (212) 787-7546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1699981779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 70TH ST",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234458",
            "telephone_number": "212-787-7546",
            "fax_number": "212-787-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 70TH ST",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234458",
            "telephone_number": "212-787-7546",
            "fax_number": "212-787-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. UNGAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "212-787-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "191425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.