Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Susan Wisniewski, MD

Individual provider Internal Medicine Physician · NPI 1629047675

Dr. Susan Wisniewski, MD is an Internal Medicine in Staten Island, New York. Qualified in 1998, 28 years ago. Practices with Physicians of University Hospital PC, a 58-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1110 S Ave Ste 306
Staten Island, NY 10314-3403
Phone: (718) 370-7100
Fax: (718) 370-7141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 222866 (NY)

Record details

NPI number1629047675
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 1, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Physicians Of University Hospital Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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