DR. SUSANA M QUERIDO MD
NPI 1659530731
Student in an Organized Health Care Education/Training Program in Glen Cove, NY

Active since June 04, 2008PECOS Enrolled
21 WALNUT RD, APT. 4-2B, GLEN COVE, NY 11542(516) 477-6015 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susana M Querido Md NPPES

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

DR. SUSANA M QUERIDO MD (NPI 1659530731) is an individual student in an organized health care education/training program in Glen Cove, New York and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659530731
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUSANA M QUERIDOCredential: MD
Location Address21 WALNUT RD, APT. 4-2BGlen Cove, NY 11542-2246
Mailing Address21 Walnut Rd, Apt. 4-2bGlen Cove, NY 11542-2246 · (516) 477-6015
Sole ProprietorNo
Enumeration DateJune 4, 2008
✔ NPI 1659530731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
21 WALNUT RD, Glen Cove, NY 11542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susana M Querido Md 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 Reassignments

4

Medicare enrollment records show Susana Querido reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1910 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
Family Medicine
4200 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
Urgent Care
161 BOSTON AVE
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
Urgent Care
389 BRIDGEPORT AVE
Shelton, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group

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 2

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

Student in an Organized Health Care Education/Training Program
21 WALNUT RD, 3-1A
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
21 WALNUT RD, APT. 4 2-C
GLEN COVE, NY 11542

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 Susana Querido's NPI number?

The NPI number for Susana Querido is 1659530731. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Susana Querido located?

Susana Querido practices at 21 Walnut Rd Apt. 4-2b, Glen Cove, NY 11542. The listed phone number is (516) 477-6015.

What is Susana Querido's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Susana Querido enrolled in Medicare?

Yes. Susana Querido is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susana Querido's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Querido reassigns Medicare benefits to 4 organizations: Qmg2,llc (Fairfield, CT), Qmg4, LLC (Bridgeport, CT), Quentin Medical Group, LLC (Bridgeport, CT) and Qmg3, LLC (Shelton, CT). Each 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 Susana Querido'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 Susana Querido was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.