Individual provider Active NPI

Michael Y Su, MD

  • Ophthalmology Physician
  • East Brunswick, NJ
National Provider Identifier
1104870427
Registry record updated Jan 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08228100 Issued in NJ
Practice address
620 Cranbury Rd
Suite 205
East Brunswick, NJ 08816-4098
Phone
(732) 708-3937
Fax
(609) 228-5120
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA08228100 NJ
Ophthalmology Physician 207W00000X 25MA08228100 NJ Primary

Addresses

Primary practice location

620 Cranbury Rd
Suite 205
East Brunswick, NJ 08816-4098

Mailing address

620 Cranbury Rd
Suite 205
East Brunswick, NJ 08816-4098
Phone (732) 708-3937

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000259 NJ Practitioner - Ophthalmology 5496766743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (917) 684-9461

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08228100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of New Jersey, P.C. Ophthalmology CurrentSince Oct 16, 2014 Accepting new patients
Lee Aesthetic Center, LLC Ophthalmology PastSince Oct 16, 2014 Accepting new patients
NJ Eye Professionals, LLC Ophthalmology PastSince Sep 12, 2018 Accepting new patients

Locations

620 Cranbury Rd
Ste 205
East Brunswick, NJ 08816
Phone (732) 708-3937

Interoperability endpoints

  • Direct secure messaging: msu@ocnj.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420329600000",
    "number": "1104870427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-708-3937",
            "fax_number": "609-228-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-708-3937",
            "fax_number": "609-228-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08228100",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08228100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.