Suzanne W Vanderwerken, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA52279 Issued in NJ

Practice address

75 W Red Bank Ave
Woodbury, NJ 08096-1694

Phone

(856) 853-2055

Fax

(856) 848-2879

NPI assigned

Nov 29, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1881677490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2055",
            "fax_number": "856-848-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2055",
            "fax_number": "856-848-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERKEN",
        "first_name": "SUZANNE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA52279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4977807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Francis Valentine, PA-C
• James Henry Van Horn, D.M.D.
• Lindsay Vanacker, FNP-C
• Michael Vanaria, DMD
• Destinie Vandergrift, BCBA
• Carly Vandevoorde, RDN
• Erica Vazquez, LSW
• Veney Medical Transportation LLC
• John A Vergari, MD
• VF Support Services LLC

• Family Medicine Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.