Naw Susan Than

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00414700 Issued in NJ

Practice address

200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638

Phone

(856) 840-4534

Fax

(856) 762-2853

NPI assigned

Sep 4, 2010

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD (past)
• GPS Physician Group of New Jersey, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Voorhees, NJ
  • NPI 1548776008
  Medicare reassignment
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment
• Geps Physician Group of New Jersey PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kennett Square, PA
  • NPI 1871512038

  NJ

  Medicare reassignment
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Sewell, NJ
  • NPI 1720538564
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988

  Physician Assistant

  NPD

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1093022543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE RM 122",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-886-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E385",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439638",
            "telephone_number": "856-840-4534",
            "fax_number": "856-762-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lexington Ave",
            "address_2": "3N",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100293942",
            "country_code": "US",
            "telephone_number": "609-605-1620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515589",
            "country_code": "US",
            "telephone_number": "718-579-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAN",
        "first_name": "NAW",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-04",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014150",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00414700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nthan135431@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E385",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kassandra Tessitore, PT
• Marcellus Dwayne Tetter
• Jessica Tewell
• Teemu Tha, M.D.
• Avinash Sai Thalasila, MD
• Garima Thapar, MD
• The 4Walls Foundation
• The 4Walls Foundation
• The Center for Neurological and Neurodevelopmental Health LLC (NeurAbilities Healthcare)
• The Center for Neurological and Neurodevelopmental Health, LLC (CNNH)

• Physician Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.