Susan L. Cecere, M.D., LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA060419 Issued in NJ

Legal business name

SUSAN L. CECERE, M.D., LLC

Practice address

60 Gordon Rd
Essex Fells, NJ 07021-1604

Phone

(973) 495-3299

Fax

(973) 228-4790

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Susan L Cecere, M.D.

Title

Physician/Sole Proprietor

Phone

(973) 495-3299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1255516084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GORDON RD",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211604",
            "telephone_number": "973-495-3299",
            "fax_number": "973-228-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GORDON RD",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211604",
            "telephone_number": "973-495-3299",
            "fax_number": "973-228-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. CECERE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "CECERE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-495-3299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA060419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.