Organization Active NPI

Door 2 Door Therapy

  • Clinical Social Worker
  • Saddle Brook, NJ
National Provider Identifier
1386234896
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DOOR 2 DOOR THERAPY
Practice address
180 Schepis Ave
Saddle Brook, NJ 07663-4918
Phone
(732) 484-7426
Fax
(732) 985-4447
NPI assigned
Jan 20, 2021
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Suzette M Fagan, LCSWNPI 1679879308
Title
Executive Director
Phone
(732) 284-3889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Respite Care 385H00000X

Addresses

Primary practice location

180 Schepis Ave
Saddle Brook, NJ 07663-4918

Mailing address

180 Schepis Ave
Saddle Brook, NJ 07663-4918
Phone (732) 484-7426

Other practice location 1

249 Pinelli Dr
Piscataway, NJ 08854-2264
Phone (732) 284-3889

Other identifiers 1

IdentifierTypeStateIssuer
1386234896MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT, DE, PA, SC, MI6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20250714004396 NJ Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: Saddle Brook, NJ
O20250729000257 CT Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: Glastonbury, CT
O20250903001897 DE Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE
O20251009004765 PA Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA
O20251030002748 SC Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: North Charleston, SC
O20260219001356 MI Part B Supplier - Clinic/Group Practice 1052826492 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1386234896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SCHEPIS AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634918",
            "telephone_number": "732-484-7426",
            "fax_number": "732-985-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SCHEPIS AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634918",
            "telephone_number": "732-484-7426",
            "fax_number": "732-985-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Pinelli Dr",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088542264",
            "country_code": "US",
            "telephone_number": "732-284-3889",
            "fax_number": "888-985-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOOR 2 DOOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-284-3889",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386234896",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.