Active NPI
Susan I Moreno, MD
- Physical Medicine & Rehabilitation Physician
- Thorofare, NJ
National Provider Identifier
1750480802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MA05706900
- Practice address
- 196 Grove Ave Suite E
Thorofare, NJ 08086 - Phone
- (856) 845-2323
- Fax
- (856) 845-4888
- NPI assigned
- Sep 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MA05706900 | NJ | Primary |
Addresses
Primary practice location
196 Grove Ave Suite E
Thorofare, NJ 08086
Mailing address
196 Grove Ave Suite E
Thorofare, NJ 08086
Phone (856) 845-2323
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722323 | Other | AMERIHEALTH PC | |
| P2681709 | Other | OXFORD HEALTH PLAN NOT IN | |
| 004117179 | Other | FAMILY HEALTH PROV SELECT | |
| 363879700 | Other | DEPT OF LABOR WORKMANS CO | |
| 722323 | Other | PABS PC | |
| 1697844001 | Other | CIGNA | |
| 2162090 | Other | AETNA IN NETWORK WITH OPE | |
| 223671610 | Other | DEVON | |
| G22323 | Other | AMERI ADMIN | |
| 1K8338 | Other | HEALTHNET HMO PLANS ALSO | |
| 250012005 | Other | RR MEDICARE | |
| 363879700 | Other | ACS DOL | |
| 722323 | Other | HORINZON BCBS NJ DIRECT A | |
| 0509463000 | Other | KEYSTONE AMERI BCBS | |
| 905513 | Other | FIRSH HEALTH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05706900 | NJ | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1750480802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 GROVE AVE SUITE E",
"city": "THOROFARE",
"state": "NJ",
"postal_code": "08086",
"telephone_number": "856-845-2323",
"fax_number": "856-845-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 GROVE AVE SUITE E",
"city": "THOROFARE",
"state": "NJ",
"postal_code": "08086",
"telephone_number": "856-845-2323",
"fax_number": "856-845-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "SUSAN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "MA05706900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PC",
"identifier": "722323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN NOT IN",
"identifier": "P2681709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PROV SELECT",
"identifier": "004117179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR WORKMANS CO",
"identifier": "363879700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS PC",
"identifier": "722323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1697844001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA IN NETWORK WITH OPE",
"identifier": "2162090",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON",
"identifier": "223671610",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERI ADMIN",
"identifier": "G22323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET HMO PLANS ALSO",
"identifier": "1K8338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "250012005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS DOL",
"identifier": "363879700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORINZON BCBS NJ DIRECT A",
"identifier": "722323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE AMERI BCBS",
"identifier": "0509463000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSH HEALTH",
"identifier": "905513",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Thorofare, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.