NPIMap

Individual provider Active NPI

Suzannah Sorin, MPAS, PA-C

  • Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1962615781
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00147000 Issued in NJ
Practice address
360 Essex St.
Suite 403- Urology
Hackensack, NJ 07601
Phone
(551) 996-2506
Fax
(551) 996-8221
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 010772 NY
Physician Assistant 363A00000X 25MP00147000 NJ Primary

Addresses

Primary practice location

360 Essex St.
Suite 403- Urology
Hackensack, NJ 07601

Mailing address

360 Essex St.
Suite 403- Urology
Hackensack, NJ 07601
Phone (551) 223-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090414000058 NY Practitioner - Physician Assistant 7214084078 Reassigns benefits to 2 organizations
I20180213000158 NJ Practitioner - Physician Assistant 7214084078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1997

30 Prospect Ave
Hackensack, NJ 07601-1915

360 Essex St
Hackensack, NJ 07601-8550
Phone (551) 996-8720

360 Essex St
Hackensack, NJ 07601-8566

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Mar 2, 2014 Accepting new patients
New York University CurrentSince Mar 17, 2015 Accepting new patients
New York University CurrentSince Mar 17, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 1, 2018 Accepting new patients
NYU Langone Hospitals CurrentSince Mar 2, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

360 Essex St
Ste 403
Hackensack, NJ 07601
Phone (551) 996-8090

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

530 1st Ave
Ste 3C
New York, NY 10016
Phone (212) 263-0330

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: suzannah.sorin@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1962615781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST.",
            "address_2": "SUITE 403- UROLOGY",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-223-5289",
            "fax_number": "551-996-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST.",
            "address_2": "SUITE 403- UROLOGY",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-2506",
            "fax_number": "551-996-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIN",
        "first_name": "SUZANNAH",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010772",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00147000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.