Susan McMahon Gardner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00481600 Issued in NJ

Practice address

410 Route 10
Suite 202 West Ten Plaza
Ledgewood, NJ 07852

Phone

(973) 584-2020

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan Elizabeth McMahon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Eyecare Professionals LLC

  • Optometrist
  • Ledgewood, NJ
  • NPI 1255846465
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1831338102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROUTE 10",
            "address_2": "SUITE 202 WEST TEN PLAZA",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-584-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 10",
            "address_2": "SUITE 202 WEST TEN PLAZA",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-584-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SUSAN",
        "middle_name": "MCMAHON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00481600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCMAHON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanne M Duphiney-Emanuel, MSW, LCSW
• Elysium Physical Therapy and Pelvic Wellness, LLC
• Danielle Francesca Fortini, PA-C
• Richard Melvin Freimauer, DDS
• Danielle Gaeta, O.D.
• Brian Gaspar
• Graff Counseling & Consulting LLC
• Kerri Graff, PHD
• Leonard J Grossman, MD
• Dawn Muriel Aliparo Guzman, NP-C

• Optometrist in Ledgewood, NJ
• Providers in Ledgewood, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.