Individual provider Active NPI

Suzanne M Yachechak, MS,RD

  • Registered Dietitian
  • Hackensack, NJ
National Provider Identifier
1952525404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
180 Overlook Ave
Hackensack, NJ 07601-2203
Phone
(201) 487-6564
Fax
(201) 880-4124
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

180 Overlook Ave
Hackensack, NJ 07601-2203

Mailing address

180 Overlook Ave
Hackensack, NJ 07601-2203
Phone (201) 487-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000147 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5496775256 Reassigns benefits to 1 organization
Practice locations: Englewood, NJ; Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

25 Rockwood PL
Suite 120
Englewood, NJ 07631-4958
Phone (201) 568-3335

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jan 25, 2021 Accepting new patients
Physician Partners of Englewood, PC Past Accepting new patients

Locations

25 Rockwood Pl
Ste 200
Englewood, NJ 07631
Phone (201) 608-2848

25 Rockwood Pl
Ste 120
Englewood, NJ 07631
Phone (201) 227-5533

97 Engle St
Englewood, NJ 07631
Phone (201) 227-5533

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952525404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OVERLOOK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012203",
            "telephone_number": "201-487-6564",
            "fax_number": "201-880-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OVERLOOK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012203",
            "telephone_number": "201-487-6564",
            "fax_number": "201-880-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACHECHAK",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.