Individual provider Active NPI

Robert E Sussman, DPM

  • Podiatrist
  • Neptune, NJ
National Provider Identifier
1013944917
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD01549000 Issued in NJ
Practice address
2100 State Route 33 Ste 3
Neptune, NJ 07753-6116
Phone
(732) 776-7260
Fax
(732) 774-8370
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD01549000 NJ Primary

Addresses

Primary practice location

2100 State Route 33 Ste 3
Neptune, NJ 07753-6116

Mailing address

2100 State Route 33 Ste 3
Neptune, NJ 07753-6116
Phone (732) 776-7260

Other identifiers 1

IdentifierTypeStateIssuer
3382401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000121 NJ Practitioner - Podiatry 2466357173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E Sussman DPM PCGroup PAC ID 5496825424, 2 clinicians

Practice addresses (Care Compare)

2100 State Route 33
Suite 3
Neptune, NJ 07753-6116
Phone (732) 776-7260

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions21
Removal of nail tissue872
Removal or shaving of skin growth52
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD01549000NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Jul 1, 2023 Accepting new patients
Robert E. Sussman, D.P.M.,P.C. Podiatrist CurrentSince Jul 6, 1989 Accepting new patients
Belanger Podiatry Associates, LLC Podiatrist PastSince Feb 13, 2022 Accepting new patients

Locations

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1820 State Route 33
Ste 9
Neptune, NJ 07753
Phone (732) 776-7260

2100 State Route 33
Ste 3
Neptune City, NJ 07753
Phone (732) 643-5500

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1013944917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE ROUTE 33 STE 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536116",
            "telephone_number": "732-776-7260",
            "fax_number": "732-774-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE ROUTE 33 STE 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536116",
            "telephone_number": "732-776-7260",
            "fax_number": "732-774-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD01549000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.