SUSAN BADER PA
NPI 1639299514
Physician Assistant in New Hyde Park, NY
About Susan Bader Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN BADER PA (NPI 1639299514) is an individual physician assistant in New Hyde Park, New York, licensed in New York (005364) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Bader Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
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 Bader's NPI number?
The NPI number for Susan Bader is 1639299514. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Susan Bader located?
Susan Bader practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 765-8895.
What is Susan Bader's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Susan Bader enrolled in Medicare?
Yes. Susan Bader is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Susan Bader was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Susan Bader, PA · NPI 1639299514
Physician Assistant physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1639299514 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 005364 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 450 LAKEVILLE RD, New Hyde Park, NY 11042-1118
- **Phone:** (516) 765-8895
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1639299514) · Data from the CMS NPPES public registry.