Dr. Susanna Bomfim, DO
Family Medicine in Short Hills, New Jersey
1295392108- Practice location
- 800 Morris Tpke, Short Hills, NJ 07078-2698
- Phone
- 908-273-4300
- Fax
- —
- Last updated
- August 10, 2022
Susanna Bomfim is a Family Medicine based in Short Hills, NJ. Susanna Bomfim practices in Short Hills, NJ and has the professional credentials of DO. The NPI Number for Susanna Bomfim is 1295392108 and holds a License No. 25MB11136600 (NJ). The current practice location address for Susanna Bomfim is 800 Morris Tpke, Short Hills, NJ 07078-2698 and can be reached out via phone at 908-273-4300.
Provider Profile Details
- NPI Number
- 1295392108
- Provider Name
- Susanna Bomfim
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 800 Morris Tpke, Short Hills, NJ 07078-2698
- Phone Number
- 908-273-4300
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- Susanna Woolston, DO (Former Name)
- Provider Enumeration Date
- May 27, 2019
- Last Update Date
- August 10, 2022
- Certification Date
- August 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Morris Tpke
Short Hills, NJ 07078-2698 - City
- Short Hills
- State
- New Jersey
- Zip
- 07078-2698
- Phone Number
- 908-273-4300
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 973-577-5825
License Information
- License Number
- 25MB11136600
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Short Hills, NJ
View all Family Medicine providers in Short Hills →Frequently Asked Questions
What is the NPI number of Dr. Susanna Bomfim, DO?
The NPI number of Dr. Susanna Bomfim, DO is 1295392108. It was assigned on May 27, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Susanna Bomfim, DO?
Dr. Susanna Bomfim, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB11136600.
Where does Dr. Susanna Bomfim, DO practice?
The practice location is 800 Morris Tpke, Short Hills, NJ 07078-2698. The office can be reached at 908-273-4300 (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 1295392108 directly on the NPPES registry website.