Sue Yang-Novellino

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB09235900 Issued in NJ

Practice address

504 White Horse Pike
Collingswood, NJ 08107

Phone

(856) 425-2577

Fax

(856) 282-5610

NPI assigned

Jul 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rowan University School of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

81.58

Promoting interoperability

99.4

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: syangnovellino111969@direct.cooperhealth.edu

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.

• Cooper Care Alliance, PC

  • Specialist
  • Camden, NJ
  • NPI 1215551437
  Medicare reassignment Care Compare group NPD
• Family Physicians at Burlington

  • Family Medicine Physician
  • Burlington, NJ
  • NPI 1356484687
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1740593920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WHITE HORSE PIKE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08107",
            "telephone_number": "856-425-2577",
            "fax_number": "856-282-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WHITE HORSE PIKE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08107",
            "telephone_number": "856-425-2577",
            "fax_number": "856-282-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG-NOVELLINO",
        "first_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09235900",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mieczyslaw Witek, MSN,CRNP
• Erin Mary Wojcik, LSW
• Ryan Samuel Wooden, NP
• Ashley D Wright, BOCO
• Samantha Wurst, LPC
• Marc Young, MD
• Stacy Zemon
• Lindsay Taylor Zogheb
• Fucheng Zou

• Family Medicine Physician in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.