Susan G. Blank, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

51517 Issued in NJ

Practice address

87 Norton Rd
Hillsborough, NJ 08844-4574

Phone

(908) 403-5574

Fax

(908) 262-2323

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of New York at Stony Brook, School of Medicine, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Susan G Blank, MD, LLC

  • Psychiatry Physician
  • Clark, NJ
  • NPI 1164617668
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1841319662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 NORTON RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444574",
            "telephone_number": "084-035-5574",
            "fax_number": "732-340-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 NORTON RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444574",
            "telephone_number": "908-403-5574",
            "fax_number": "908-262-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "SUSAN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "51517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Bischoff, MD
• Mariann Bischoff, LCSW
• Biz Core Solutions
• Virginia Blakeman, LCSW
• Christina Jane Blanchard, BSPT
• Daniel Paul Bobo, MD
• Ryan L Bochinski, PT, DPT
• Boma Health Services LLC
• Gillian Bone, APN
• Cara Bonsma, LPC

• Psychiatry Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.