Active NPIIndividual provider

Mrs. Susan B Hirsch, PA

Physician Assistant in West Orange, New Jersey

NPI Number1497868517
Practice location
347 Mount Pleasant Ave Ste 205, The Dermatology Group, PC, West Orange, NJ 07052-2749
Fax
973-498-0512
Last updated
August 5, 2013

Susan Beth Hirsch is a Physician Assistant based in West Orange, NJ. Susan Beth Hirsch practices in West Orange, NJ and has the professional credentials of PA. The NPI Number for Susan Beth Hirsch is 1497868517 and holds a License No. 009397-1 (NY). The current practice location address for Susan Beth Hirsch is 347 Mount Pleasant Ave Ste 205, The Dermatology Group, PC, West Orange, NJ 07052-2749 and can be reached out via phone at 973-571-2121 and via fax at 973-498-0512.

Provider Profile Details

NPI Number
1497868517
Provider Name
Susan Beth Hirsch
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
347 Mount Pleasant Ave Ste 205, The Dermatology Group, PC, West Orange, NJ 07052-2749
Phone Number
973-571-2121
Fax Number
973-498-0512
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Mrs. Susan Beth Kline, PA (Former Name)
Provider Enumeration Date
August 15, 2006
Last Update Date
August 5, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
347 Mount Pleasant Ave Ste 205
The Dermatology Group, PC
West Orange, NJ 07052-2749
Zip
07052-2749
Phone Number
973-571-2121
Fax Number
973-498-0512
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
347 Mount Pleasant Ave Ste 205
The Dermatology Group, PC
West Orange, NJ 07052-2749
City
West Orange
State
NJ
Zip
07052-2749
Phone Number
973-571-2121
Fax Number
973-498-0512

License Information

License Number (1)
009397-1
License State (1)
NY
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
25MP001100500
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Mrs. Susan B Hirsch, PA?

The NPI number of Mrs. Susan B Hirsch, PA is 1497868517. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan B Hirsch, PA?

Mrs. Susan B Hirsch, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 009397-1.

Where does Mrs. Susan B Hirsch, PA practice?

The practice location is 347 Mount Pleasant Ave Ste 205, The Dermatology Group, PC, West Orange, NJ 07052-2749. The office can be reached at 973-571-2121 (phone) or 973-498-0512 (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 1497868517 directly on the NPPES registry website.

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