NPIMap

Individual provider Active NPI

Susie Chung, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1760417471
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
211617 Issued in NY
Practice address
139 Centre St. Suite 320
New York, NY 10013-3100
Phone
(212) 334-1207
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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 211617 NY Primary

Addresses

Primary practice location

139 Centre St. Suite 320
New York, NY 10013-3100

Mailing address

PO Box 1418
New York, NY 10156-1418
Phone (347) 392-7474

Other identifiers 1

IdentifierTypeStateIssuer
01987842MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207001085 NY Practitioner - NephrologyPractitioner - Internal Medicine 3375509763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susie Chung MD PC Nephrology CurrentSince Aug 17, 2010 Accepting new patients
New York University CurrentSince Nov 5, 2020 Accepting new patients
New York University CurrentSince Nov 5, 2020 Accepting new patients
Nephrology Associates of Manhattan PC Past Accepting new patients
Robert a Press MD PC Past Accepting new patients
Albert Matalon MD PC Nephrology Past Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

530 1st Ave
#4G
New York, NY 10016
Phone (212) 263-0450

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

317 E 34th St
Fl 2
New York, NY 10016

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

530 1st Ave
Ste 4G
New York, NY 10016
Phone (212) 263-7229

139 Centre St
Ste 320
New York, NY 10013
Phone (212) 334-1207

171 Delancey St
New York, NY 10002
Phone (929) 455-2600

Networks

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

Interoperability endpoints

  • Direct secure messaging: schung9657@nyumc.direct-ci.com
  • Direct secure messaging: szc9009@direct.nyp.org

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 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1760417471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1418",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101561418",
            "telephone_number": "347-392-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST. SUITE 320",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133100",
            "telephone_number": "212-334-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SUSIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "211617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01987842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.