Individual provider Active NPI

Suzanne Elia El-Sayegh, M.D.

  • Nephrology Physician
  • Staten Island, NY
National Provider Identifier
1750370573
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
246198-1 Issued in NY
Practice address
470 Seaview Ave
Staten Island, NY 10305-3401
Phone
(718) 987-5940
Fax
(718) 667-9708
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 246198-1 NY Primary

Addresses

Primary practice location

470 Seaview Ave
Staten Island, NY 10305-3401

Mailing address

97 New Dorp LN
Staten Island, NY 10306-2359
Phone (718) 876-6220

Other identifiers 2

IdentifierTypeStateIssuer
A400007042OtherNYPTAN
02514845MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001039 NY Practitioner - NephrologyPractitioner - Internal Medicine 7719878917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Nephrology Services PCGroup PAC ID 8729977202, 13 clinicians

Practice addresses (Care Compare)

25 Fanning St
Staten Island, NY 10314-5307
Phone (718) 289-7900

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2000

470 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 987-5942

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Hospital & facility affiliations

  • Island Rehabilitative Services - Seaview Dialysis Dialysis facility, Staten Island, NY, CCN 332511
  • Island Rehabilitative Services - Clove Lakes Dialysis Dialysis facility, Staten Island, NY, CCN 332638
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
99.83 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
66.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
246198-1NYMDNephrology Physician
001989NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 30, 2016 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 30, 2016 Accepting new patients
A Merryland Operating LLC Past Accepting new patients
Island Medical Specialists, P.L.L.C. PastSince Dec 13, 2022 Accepting new patients
Mermaid Operating Co, LLC Nephrology PastSince Nov 4, 2005 Accepting new patients

Locations

12046 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 793-3341

300 Community Dr
Plandome, NY 11030

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

470 Seaview Ave
Staten Island, NY 10305
Phone (718) 987-5940

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: selsayegh28239@northwell.direct-ci.com

Organizations & group practices 7

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 3

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1750370573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062359",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053401",
            "telephone_number": "718-987-5940",
            "fax_number": "718-667-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SAYEGH",
        "first_name": "SUZANNE",
        "middle_name": "ELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "246198-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A400007042",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02514845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.