DR. SUSAN WISNIEWSKI MD
NPI 1629047675
Internal Medicine in Staten Island, NY

Q: What is Susan Wisniewski's NPI number?

The NPI number for Susan Wisniewski is 1629047675. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Susan Wisniewski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wisniewski was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

1110 SOUTH AVE, SUITE 306, STATEN ISLAND, NY 10314(718) 370-7100(718) 370-7141 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Susan Wisniewski Md NPPES

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

DR. SUSAN WISNIEWSKI MD (NPI 1629047675) is an individual internal medicine provider in Staten Island, New York, licensed in New York (222866) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1629047675

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUSAN WISNIEWSKICredential: MD

Location Address1110 SOUTH AVE, SUITE 306Staten Island, NY 10314-3403

Mailing Address1110 South Ave, Suite 306Staten Island, NY 10314-3403 · (718) 370-7100 · Fax (718) 370-7141

Phone(718) 370-7100

Fax(718) 370-7141

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 14, 2006

Last NPPES UpdateDecember 1, 2008

✔ NPI 1629047675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 222866

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1110 SOUTH AVE, Staten Island, NY 10314

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Other Identifiers 3

Medicaid02593328NY

Medicare UPINH51954NY

Medicare ID-Type Unspecified154AY1NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Wisniewski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799697322

PECOS Enrollment IDI20031103000415

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

470 services281 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

302 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

166 services166 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

163 services163 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

131 services19 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

106 services91 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

102 services102 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

101 services101 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

99 services99 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

73 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services48 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

39 services39 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

36 services36 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services28 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

67%577 patients3/55-star benchmark: 93%

Controlling High Blood Pressure

90%593 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%181 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,597 patients5/55-star benchmark: 100%

e-Prescribing

100%6,026 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

67%1,339 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%1,427 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

100%1,708 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers14 claims50 services$6.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JANETTE ROSALIA RAMOS-ACOSTA PH.D.

Psychologist (Clinical)

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (609) 795-1997

ELIZABETH FRANCIS

Behavior Analyst

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (347) 446-0172

ELMA FERATOVIC

Registered Nurse

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (718) 226-6500

ERIKA BARBARA VIGO

Case Manager/Care Coordinator

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (718) 556-1616

MS. ALYSSA ELIZABETH RYAN

Social Worker

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (866) 707-8669

MISS STEFANIE ANN SCUDERA LMHC, NCC

Counselor (Mental Health)

1110 SOUTH AVE, SUITE 5
STATEN ISLAND, NY 10314

Richmond County (347) 273-1290

MARYELLEN ROMANO M.D.

Obstetrics & Gynecology (Gynecology)

1110 SOUTH AVE, SUITE306
STATEN ISLAND, NY 10314

Richmond County (718) 761-4700

ALANNA PRIOLO MA, CCC-SLP, TSSLD

Speech-Language Pathologist

1110 SOUTH AVE
STATEN ISLAND, NY 10314

Richmond County (866) 707-8869

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 Wisniewski's NPI number?

The NPI number for Susan Wisniewski is 1629047675. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Susan Wisniewski located?

Susan Wisniewski practices at 1110 South Ave Suite 306, Staten Island, NY 10314. The listed phone number is (718) 370-7100.

What is Susan Wisniewski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Wisniewski enrolled in Medicare?

Yes. Susan Wisniewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Susan Wisniewski affiliated with any hospitals?

According to CMS data, Susan Wisniewski is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Susan Wisniewski was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.