Suzanne Zoufaly Jerome, OTR

Key facts

NPI

1780166231

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

3063 (NH)

Practice address

70 Butler St
Salem, NH 03079-3925

Phone

(603) 893-2900

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

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  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

Other names

• Suzanne Elizabeth Zoufaly Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1780166231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN CIR",
            "city": "KINGSTON",
            "state": "NH",
            "postal_code": "038483131",
            "telephone_number": "518-728-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BUTLER ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793925",
            "telephone_number": "603-893-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "386 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018445885",
            "country_code": "US",
            "telephone_number": "978-965-5089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEROME",
        "first_name": "SUZANNE",
        "middle_name": "ZOUFALY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022270",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130304",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "ZOUFALY",
            "middle_name": "ELIZABETH",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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