Susan Gottlieb, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

201697 Issued in NY

Practice address

150 E Sunrise Hwy
Lindenhurst, NY 11757-2539

Phone

(631) 225-7200

Fax

(631) 930-9451

NPI assigned

Apr 5, 2006

Last updated

Jun 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment Care Compare group NPD
• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  Medicare reassignment NPD
• Jamaica Hospital

  dba Jamaica Hospital Emergency Department - Radiology

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465
  Medicare reassignment NPD
• Weill Cornell Imaging at New York Presbyterian

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1447430152
  Medicare reassignment NPD
• Weill Medical College of Cornell

  dba Weill Cornell Radiology

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1538109269
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1477579464
  NPD
• Nassau Health Care Corporation

  dba NUMC Department of Family Medicine, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• New York City Health and Hospitals Corporation

  dba Renaissance Diagnostic & Treatment Center

  • Clinic/Center
  • New York, NY
  • NPI 1235147497
  NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1952363988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572539",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572539",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "201697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02084357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana P Gonzalez
• Juan Gonzalez
• Good Samaritan Hospital Medical Center
• Donna Rose Gordonson, LCSW-R
• Edward Gorodinsky, D.D.S
• Katarzyna Gozdziewicz, MSED, BCBA, LBA
• Grace Colasacco, Licensed Mental Health Counselor, PLLC
• Jessica Lyn Graff, PA
• Gramercy Medical Recovery Equipment Inc.
• Sharon Grand, PH.D.

• Diagnostic Radiology Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.

Verify at the official NPI Registry.