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DR. SUSAN E GOTTLIEB M..D.
NPI 1619961190
Pediatrics - Developmental - Behavioral Pediatrics in Brooklyn, NY

Active since September 09, 2005PECOS Enrolled
263 7TH AVE, BROOKLYN, NY 11215(718) 246-8522(718) 246-8511 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2023, Mar 31, 2023 (2 updates tracked since 2023).

About Dr. Susan E Gottlieb M..d. NPPES

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

DR. SUSAN E GOTTLIEB M..D. (NPI 1619961190) is an individual developmental - behavioral pediatrics provider in Brooklyn, New York, licensed in New York (143744) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619961190
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. SUSAN E GOTTLIEBCredential: M..D.
Location Address263 7TH AVEBrooklyn, NY 11215-7247
Mailing Address1 Grace CtBrooklyn, NY 11201-4195 · (718) 875-8262
Phone(718) 246-8522
Fax(718) 246-8511
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1619961190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NY · 143744
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
263 7TH AVE, Brooklyn, NY 11215
Open in Google Maps ↗

Other Identifiers 1

Medicaid01137879NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan E Gottlieb M..d. 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 Gottlieb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Physician Services, PC
Same address
Diagnostic Radiology
506 6TH STREET
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group
NPI 1083045090 (718) 780-5051

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

Other Providers at the Same Location NPPES 20

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

JANE FONG M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 246-8510
DR. IRAM NADROO M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 780-5260
MATTHEW ALAN WERT MD
Orthopaedic Surgery (Sports Medicine)
263 7TH AVE, SUITE 2B
BROOKLYN, NY 11215
Kings County (718) 246-8700
JENNY SHULMAN OTR/L
Specialist
263 7TH AVE, SUITE 2A
BROOKLYN, NY 11215
Kings County (718) 780-5393
METRO ATHLETIC MEDICINE & FITNESS PC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
263 7TH AVE, 2A
BROOKLYN, NY 11215
Kings County (718) 369-8000
ALBERT AYOUB M.D.
Obstetrics & Gynecology (Obstetrics)
263 7TH AVE, SUITE 4C
BROOKLYN, NY 11215
Kings County (718) 768-4338
DR. REGINALD E MANNING M.D.
Orthopaedic Surgery (Sports Medicine)
263 7TH AVE, SUITE 2B
BROOKLYN, NY 11215
Kings County (718) 246-8700
DR. BABRAK CARVAN M.D.
Pediatrics
263 7TH AVE
BROOKLYN, NY 11215
Kings County (718) 246-8510

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 Gottlieb's NPI number?

The NPI number for Susan Gottlieb is 1619961190. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Susan Gottlieb located?

Susan Gottlieb practices at 263 7th Ave, Brooklyn, NY 11215. The listed phone number is (718) 246-8522.

What is Susan Gottlieb's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Susan Gottlieb enrolled in Medicare?

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

Which organization bills Medicare for Susan Gottlieb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Gottlieb reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). 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 Gottlieb'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 Gottlieb was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.