Active NPI
Susan Joy Margolin, M.D.
- Pediatrics Physician
- Montville, NJ
National Provider Identifier
1164455622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA03665300
- Practice address
- 19 Lalique Drive
Montville, NJ 07045-9028 - Phone
- (973) 299-5099
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA03665300 | NJ | Primary |
Addresses
Primary practice location
19 Lalique Drive
Montville, NJ 07045-9028
Mailing address
19 Lalique Drive
Montville, NJ 07045-9028
Phone (973) 299-5099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 520541MHJ | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03665300 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164455622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LALIQUE DRIVE",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459028",
"telephone_number": "973-299-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 LALIQUE DRIVE",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459028",
"telephone_number": "973-299-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIN",
"first_name": "SUSAN",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA03665300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "520541MHJ",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.