Individual provider Active NPI

Susan F Neshin, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Asbury Park, NJ
National Provider Identifier
1821203316
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
MA04170100 Issued in NJ
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

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000105 NJ Order and Referring Only - Addiction MedicinePractitioner - PsychiatryPractitioner - Addiction Medicine 9830498815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04170100NJMDAddiction 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

Verify at the official NPI Registry.