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

Individual provider Nephrology Physician · NPI 1962513424

Susan Grossman, MDQ is an Internal Medicine in Staten Island, New York. Qualified in 1977, 49 years ago. Practices with Staten Island Nephrology PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1366 Victory Blvd
Staten Island, NY 10301-3948
Phone: (718) 273-3400
Fax: (718) 727-3402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 149744 (NY)

Record details

NPI number1962513424
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDQ
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Staten Island Nephrology Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Staten Island