1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Nurse Practitioner
  6. NPI Profile

SUSAN H LEE APN
NPI 1124846381
Nurse Practitioner - Family in Hackensack, NJ

Active since September 27, 2024PECOS Enrolled
170 PROSPECT AVE STE 1, HACKENSACK, NJ 07601(551) 309-3555 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2025, Sep 27, 2024 (2 updates tracked since 2024).

About Susan H Lee Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN H LEE APN (NPI 1124846381) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15122000) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124846381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN H LEECredential: APN
Location Address170 PROSPECT AVE STE 1Hackensack, NJ 07601-1834
Mailing Address552 Laurel RdRidgewood, NJ 07450-5217 · (917) 623-2141
Phone(551) 309-3555
Sole ProprietorNo
Enumeration DateSeptember 27, 2024
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1124846381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15122000
170 PROSPECT AVE STE 1, Hackensack, NJ 07601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan H Lee Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Anchipolovsky PA
4.1 mi
Endocrinology, Diabetes & Metabolism
119 GORDON CT
Oradell, NJ 07649
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1396922886 (201) 967-1928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRINA GAVDANOVICH FNP
Nurse Practitioner (Family)
170 PROSPECT AVE STE 1
HACKENSACK, NJ 07601
Bergen County (201) 820-3596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Lee's NPI number?

The NPI number for Susan Lee is 1124846381. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Susan Lee located?

Susan Lee practices at 170 Prospect Ave Ste 1, Hackensack, NJ 07601. The listed phone number is (551) 309-3555.

What is Susan Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Lee enrolled in Medicare?

Yes. Susan Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Lee reassigns Medicare benefits to Dr. Anchipolovsky PA (Oradell, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Lee was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.