Individual provider Active NPI

Susan Hagen Morrison, M.D.

  • Allergy & Immunology Physician
  • Belleville, NJ
National Provider Identifier
1174501886
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA04095600 Issued in NJ
Practice address
77 Newark Ave Ste 4
Belleville, NJ 07109-4154
Phone
(973) 450-0100
Fax
(973) 450-8088
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 25MA0409500 NJ
Allergy & Immunology Physician 207K00000X 25MA04095600 NJ Primary

Addresses

Primary practice location

77 Newark Ave Ste 4
Belleville, NJ 07109-4154

Mailing address

77 Newark Ave Ste 4
Belleville, NJ 07109-4154
Phone (973) 450-0100

Other identifiers 1

IdentifierTypeStateIssuer
2091607MedicaidNJ

Other names 1

  • Miss Susan Marie Hagen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrSue@DSM-NJ.direct.office.nextgen.com Health Information Exchange (HIE)

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
I20100414000299 NJ Practitioner - Allergy/ImmunologyPractitioner - Infectious Disease 2961538400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Infectious Disease
Education
Rutgers New Jersey Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Newark Ave
Suite 4
Belleville, NJ 07109-4154
Phone (973) 450-0100

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0409500NJMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Hagen Morrison, M.D., PA Allergy & Immunology CurrentSince Jan 20, 2010 Accepting new patients

Locations

36 Newark Ave
Ste 322
Belleville, NJ 07109
Phone (973) 450-0100

77 Newark Ave
Ste 4
Belleville, NJ 07109
Phone (201) 759-1100

Interoperability endpoints

  • Direct secure messaging: drsue@dsm-nj.direct.office.nextgen.com

Organizations & group practices 1

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 1

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1174501886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEWARK AVE STE 4",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094154",
            "telephone_number": "973-450-0100",
            "fax_number": "973-450-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEWARK AVE STE 4",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094154",
            "telephone_number": "973-450-0100",
            "fax_number": "973-450-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SUSAN",
        "middle_name": "HAGEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MA0409500",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04095600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091607",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrSue@DSM-NJ.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "direct email for EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "77 Newark Ave Ste 4",
            "city": "Belleville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071094154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAGEN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.