Individual provider Active NPI

Shuchun Sabrina Su

  • Home Health Agency
  • East Brunswick, NJ
National Provider Identifier
1356927784
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
54 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone
(646) 361-4468
Fax
(732) 889-7520
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Music Therapist 225A00000X
Home Health Aide 374U00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

54 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Mailing address

16 Stoothoff Dr
New Hyde Park, NY 11040-3621
Phone (646) 361-4468

Other practice location 1

16 Stoothoff Dr
New Hyde Park, NY 11040-3621
Phone (646) 361-4468

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Grace Home Health Care & Community Services Home Health CurrentSince May 25, 2025 Accepting new patients
Bright Life Senior Care LLC Home Health CurrentSince Nov 24, 2024 Accepting new patients
Zion Grace Home Care Inc Home Health Current Accepting new patients

Locations

54 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (646) 361-4468

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1356927784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STOOTHOFF DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403621",
            "telephone_number": "646-361-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "646-361-4468",
            "fax_number": "732-889-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Stoothoff Dr",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110403621",
            "country_code": "US",
            "telephone_number": "646-361-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "SHUCHUN",
        "middle_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.