Active NPI
Susan F Neshin, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Asbury Park, NJ
National Provider Identifier
1821203316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- MA04170100
- Practice address
- 1200 Memorial Dr
Asbury Park, NJ 07712-5008 - Phone
- (732) 988-8877
- Fax
- (732) 988-2572
- NPI assigned
- May 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | MA04170100 | NJ | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Asbury Park, NJ 07712-5008
Mailing address
685 Neptune Blvd
Neptune, NJ 07753-4118
Phone (732) 988-8877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160426000105 | NJ | Order and Referring Only - Addiction Medicine | 9830498815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04170100 | NJ | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1821203316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 NEPTUNE BLVD",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534118",
"telephone_number": "732-988-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125008",
"telephone_number": "732-988-8877",
"fax_number": "732-988-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHIN",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NJ",
"license": "MA04170100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asbury Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.