Active NPIIndividual providerSole proprietor

Susan Rae, MD

Family Medicine in Woodland Park, New Jersey

NPI Number1437158094
Practice location
1031 Mcbride Ave, Suite 210 D, Woodland Park, NJ 07424-2559
Fax
973-339-9040
Last updated
February 9, 2012

Susan Rae is a Family Medicine based in Woodland Park, NJ. Susan Rae practices in Woodland Park, NJ and has the professional credentials of MD. The NPI Number for Susan Rae is 1437158094 and holds a License No. 25MA06609700 (NJ). The current practice location address for Susan Rae is 1031 Mcbride Ave, Suite 210 D, Woodland Park, NJ 07424-2559 and can be reached out via phone at 973-812-9091 and via fax at 973-339-9040.

Provider Profile Details

NPI Number
1437158094
Provider Name
Susan Rae
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1031 Mcbride Ave, Suite 210 D, Woodland Park, NJ 07424-2559
Phone Number
973-812-9091
Fax Number
973-339-9040
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Other Names
-- Sawsan Ali, MD (Former Name)
Provider Enumeration Date
July 17, 2005
Last Update Date
February 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1031 Mcbride Ave
Suite 210 D
Woodland Park, NJ 07424-2559
Zip
07424-2559
Phone Number
973-812-9091
Fax Number
973-339-9040
Woodland Park, NJ 07424Get directions →

Provider Business Mailing Address Details

Address
40 Michelle Way
Pine Brook, NJ 07058-9446
City
Pine Brook
State
NJ
Zip
07058-9446
Phone Number
973-812-9091
Fax Number
973-237-9053

License Information

License Number
25MA06609700
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susan Rae, MD?

The NPI number of Susan Rae, MD is 1437158094. It was assigned on July 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Susan Rae, MD?

Susan Rae, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA06609700.

Where does Susan Rae, MD practice?

The practice location is 1031 Mcbride Ave, Suite 210 D, Woodland Park, NJ 07424-2559. The office can be reached at 973-812-9091 (phone) or 973-339-9040 (fax).

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 1437158094 directly on the NPPES registry website.

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