Active NPI
Lorraine Suslak, M.S.
- Genetic Counselor (M.S.)
- Newark, NJ
National Provider Identifier
1760654008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- NOT APPLICABLE
- Practice address
- 90 Bergen St
Suite 5400
Newark, NJ 07103-2425 - Phone
- (973) 972-3311
- Fax
- (973) 972-3310
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | NOT APPLICABLE | NJ | Primary |
Addresses
Primary practice location
90 Bergen St
Suite 5400
Newark, NJ 07103-2425
Mailing address
529 Fordham PL
Paramus, NJ 07652-5637
Phone (201) 265-2736
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1760654008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 FORDHAM PL",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525637",
"telephone_number": "201-265-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BERGEN ST",
"address_2": "SUITE 5400",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032425",
"telephone_number": "973-972-3311",
"fax_number": "973-972-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSLAK",
"first_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NJ",
"license": "NOT APPLICABLE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.