Individual provider Active NPI

Susan Annette Ploski

  • Professional Counselor
  • Skillman, NJ
National Provider Identifier
1245973056
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00840700 Issued in NJ
Practice address
88 Orchard Rd Ste 5
Skillman, NJ 08558-2642
Phone
(732) 902-2181
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00840700 NJ Primary

Addresses

Primary practice location

88 Orchard Rd Ste 5
Skillman, NJ 08558-2642

Mailing address

PO Box 251
Three Bridges, NJ 08887-0251
Phone (908) 334-7468

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004212 NJ Practitioner - Mental Health Counselor 1254867963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Therapy Institute New JerseyGroup PAC ID 8921316605, 12 clinicians

Practice addresses (Care Compare)

400 New Durham Rd
Metuchen, NJ 08840-2455
Phone (732) 902-2181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00840700NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey Professional CurrentSince Nov 11, 2024 Accepting new patients

Locations

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1245973056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "THREE BRIDGES",
            "state": "NJ",
            "postal_code": "088870251",
            "telephone_number": "908-334-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD STE 5",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "732-902-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSKI",
        "first_name": "SUSAN",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00840700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.