Active NPI
Melissa Su, M.D.
- Internal Medicine Physician
- Morganville, NJ
National Provider Identifier
1801834858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA05383900
- Practice address
- 1128 Campus Dr
Morganville, NJ 07751-1261 - Phone
- (732) 972-0660
- Fax
- (732) 972-1061
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA05383900 | NJ | Primary |
Addresses
Primary practice location
1128 Campus Dr
Morganville, NJ 07751-1261
Mailing address
1128 Campus Dr
Morganville, NJ 07751-1261
Phone (732) 972-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05383900 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Primary Care Services | Internal Medicine | Current | Accepting new patients |
| Jersey Shore Medical Associates PC | Internal Medicine | Past | Accepting new patients |
| Bayshore Medical Group PC | Internal Medicine | Past | Accepting new patients |
Locations
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
1128 Campus Dr
Morganville, NJ 07751
Phone (732) 972-0660
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
Organizations & group practices 3
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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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1801834858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 CAMPUS DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511261",
"telephone_number": "732-972-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 CAMPUS DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511261",
"telephone_number": "732-972-0660",
"fax_number": "732-972-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA05383900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.