Susan Beth Hirsch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP001100500 Issued in NJ

Practice address

347 Mount Pleasant Ave Ste 205
The Dermatology Group, PC
West Orange, NJ 07052-2749

Phone

(973) 571-2121

Fax

(973) 498-0512

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Susan Beth Kline Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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.

• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  Medicare reassignment
• Amy B Lewis MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1124278452
  Medicare reassignment
• New Jersey Medical Services Group, LLC

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1962828277
  NPD (past)
• The Dermatology Group

  • Dermatology Physician
  • West Orange, NJ
  • NPI 1962428474
  NPD (past)
• Anthony Buglino DO PLLC

  • Plastic Surgery Physician
  • Woodbury, NY
  • NPI 1730582834
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1497868517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 205",
            "address_2": "THE DERMATOLOGY GROUP, PC",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522749",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 205",
            "address_2": "THE DERMATOLOGY GROUP, PC",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522749",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "009397-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP001100500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3595059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KLINE",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Hess
• Higgins Counseling and Consulting LLC
• Heather Anne Higgins, OTR
• Thomas G Higgins, M.D.
• Trisha Anne Hillman, M.S. CCC-SLP
• Jane K Hochberg, PSY.D.
• Kaila Hoer, OT
• Janet S. Hoffer
• Holistic Urban Guidance Center, Inc
• Janet Hollander

• Physician Assistant in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.