Individual provider Active NPI

Suzanne Fahey, DPT

  • Physical Therapist
  • Iselin, NJ
National Provider Identifier
1801626130
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02010800 Issued in NJ
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260521004692 NJ Practitioner - Physical Therapist in Private Practice 5395215156 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
40QA02010800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. Physical Therapist CurrentSince May 5, 2026 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.

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.

Verify at the official NPI Registry.