Active NPI
Suzanne Fahey, DPT
- Physical Therapist
- Iselin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02010800
- Practice address
- 1 Wellbrook PL Ste 1-1
Iselin, NJ 08830-1559 - Phone
- (848) 308-5110
- Fax
- (848) 308-5111
- NPI assigned
- Aug 2, 2024
- Last updated
- May 22, 2026
- 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 Therapist | 225100000X | 40QA02010800 | NJ | Primary |
Addresses
Primary practice location
1 Wellbrook PL Ste 1-1
Iselin, NJ 08830-1559
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877
Other practice location 1
135 Highway 35
Eatontown, NJ 07724-1813
Phone (848) 308-4915
Other practice location 2
1180 Raritan Rd
Clark, NJ 07066-1311
Phone (848) 308-4515
Other practice location 3
131 Providence Blvd
Kendall Park, NJ 08824-1931
Phone (609) 227-7549
Other practice location 4
3499 US 9 Ste 2B-4
Freehold, NJ 07728-3258
Phone (848) 308-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1180 Raritan Rd
Clark, NJ 07066-1311
18670 Graphics Dr
Suite 200
Tinley Park, IL 60477-4605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02010800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Outpatient Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1 Wellbrook Pl
Iselin, NJ 08830
Phone (732) 549-7380
1 Wellbrook Pl
Ste 11
Iselin, NJ 08830
Phone (848) 308-5110
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hackensack Meridian Rehabilitation Clark
- Physical Therapist
- Clark, NJ
- NPI 1982381026
-
dba Hackensack Meridian Rehabilitation Metropark
- Physical Therapist
- Iselin, NJ
- NPI 1174498968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1801626130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015792",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WELLBROOK PL STE 1-1",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088301559",
"telephone_number": "848-308-5110",
"fax_number": "848-308-5111"
}
],
"practiceLocations": [
{
"address_1": "135 Highway 35",
"address_purpose": "LOCATION",
"city": "Eatontown",
"state": "NJ",
"postal_code": "077241813",
"country_code": "US",
"telephone_number": "848-308-4915",
"fax_number": "848-308-4986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1180 Raritan Rd",
"address_purpose": "LOCATION",
"city": "Clark",
"state": "NJ",
"postal_code": "070661311",
"country_code": "US",
"telephone_number": "848-308-4515",
"fax_number": "848-308-4516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 Providence Blvd",
"address_purpose": "LOCATION",
"city": "Kendall Park",
"state": "NJ",
"postal_code": "088241931",
"country_code": "US",
"telephone_number": "609-227-7549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3499 US 9 Ste 2B-4",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077283258",
"country_code": "US",
"telephone_number": "848-308-4810",
"fax_number": "848-308-4811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "SUZANNE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02010800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.