Susanna Im
Nurse Practitioner in Washington Township, New Jersey
1003571621- Practice location
- 435 Hurffville - Cross Keys RD, Washington Township, NJ 08080
- Phone
- 856-582-2500
- Fax
- —
- Last updated
- January 6, 2022
Susanna Im is a Nurse Practitioner based in Washington Township, NJ. Susanna Im practices in Washington Township, NJ. The NPI Number for Susanna Im is 1003571621 and holds a License No. 26NJ01244400 (NJ). The current practice location address for Susanna Im is 435 Hurffville - Cross Keys RD, Washington Township, NJ 08080 and can be reached out via phone at 856-582-2500.
Provider Profile Details
- NPI Number
- 1003571621
- Provider Name
- Susanna Im
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 435 Hurffville - Cross Keys RD, Washington Township, NJ 08080
- Phone Number
- 856-582-2500
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 8, 2021
- Last Update Date
- January 6, 2022
- Certification Date
- January 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 435 Hurffville - Cross Keys RD
Washington Township, NJ 08080 - State
- New Jersey
- Zip
- 08080
- Phone Number
- 856-582-2500
Provider Business Mailing Address Details
- Address
- 92 Peregrine Dr
Voorhees, NJ 08043-1661 - City
- Voorhees
- State
- NJ
- Zip
- 08043-1661
- Phone Number
- 856-246-2294
License Information
- License Number
- 26NJ01244400
- License State
- NJ
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Susanna Im?
The NPI number of Susanna Im is 1003571621. It was assigned on November 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Susanna Im?
Susanna Im is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ01244400.
Where does Susanna Im practice?
The practice location is 435 Hurffville - Cross Keys RD, Washington Township, NJ 08080. The office can be reached at 856-582-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003571621 directly on the NPPES registry website.