Active NPI
Shuchun Sabrina Su
- Home Health Agency
- East Brunswick, NJ
National Provider Identifier
1356927784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Grace Home Health Care & Community Services | Home Health | Current | Accepting new patients |
| Bright Life Senior Care LLC | Home Health | Current | 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.
-
- Home Health Agency
- East Brunswick, NJ
- NPI 1205787066
-
- Home Health Agency
- East Brunswick, NJ
- NPI 1801566500
-
- Home Health Agency
- New Hyde Park, NY
- NPI 1780450304
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.