Active NPI
Susan V Massey, A.N.P.
- Nurse Practitioner
- New York, NY
National Provider Identifier
1962731240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 302425
- Practice address
- 160 E 34TH St
New York, NY 10016 - Phone
- (212) 731-5673
- Fax
- (212) 751-5502
- NPI assigned
- Dec 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 302425 | NY | Primary |
Addresses
Primary practice location
160 E 34TH St
New York, NY 10016
Mailing address
160 E 34TH St
New York, NY 10016
Phone (212) 731-5673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11540 Santa Monica Blvd
Suite 203
Los Angeles, CA 90025-7905
Phone (310) 403-2765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21114 | CA | MD | Surgical Oncology Physician |
| 302425 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific West Coast Health Medical Therapy Center Inc. | Current | Accepting new patients | |
| L.Wiener C.Ross Medical Corp | Past | Accepting new patients | |
| Boulevard Pharmacy Inc | Past | Accepting new patients |
Locations
11540 Santa Monica Blvd
Ste 201
Los Angeles, CA 90025
Phone (310) 428-8065
11540 Santa Monica Blvd
Ste 203
West Los Angeles, CA 90025
Phone (310) 403-2765
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1093919615
-
- Community/Retail Pharmacy
- Beverly Hills, CA
- NPI 1871692822
-
- Sports Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1366543290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1962731240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-731-5673",
"fax_number": "212-751-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-731-5673",
"fax_number": "212-751-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "SUSAN",
"middle_name": "V",
"credential": "A.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "302425",
"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 Dec 15, 2009; 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.