Active NPI
Susan Y Chae, DPM
- Foot & Ankle Surgery Podiatrist
- East Meadow, NY
National Provider Identifier
1720171770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005734
- Practice address
- 467 Merrick Avenue
East Meadow, NY 11554 - Phone
- (516) 489-1950
- Fax
- (516) 489-6861
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N005734 | NY | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00286700 | NJ |
Addresses
Primary practice location
467 Merrick Avenue
East Meadow, NY 11554
Mailing address
220-36 Hartland Avenue
Queens Village, NY 11427
Phone (718) 344-6039
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
49 Forest Rd
Monroe, NY 10950-2923
Phone (845) 782-3242
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 29 |
| Removal or shaving of skin growth | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00286700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| N005734 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aizer Health , Inc. | Current | Accepting new patients | |
| Aizer Health , Inc. | Current | Accepting new patients |
Locations
49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242
48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464
Interoperability endpoints
- susan.chae@echc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1063480218
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1528941689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720171770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220-36 HARTLAND AVENUE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11427",
"telephone_number": "718-344-6039",
"fax_number": "516-489-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 MERRICK AVENUE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-489-1950",
"fax_number": "516-489-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAE",
"first_name": "SUSAN",
"middle_name": "Y",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N005734",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00286700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- 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.