Individual provider Active NPI

Suzanne Fuller Mackey, M.D.

  • Obesity Medicine (Preventive Medicine) Physician
  • Voorhees, NJ
National Provider Identifier
1972574523
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
License
25MA07049100 Issued in NJ
Practice address
2301 E Evesham Rd
Suite 505
Voorhees, NJ 08043-4501
Phone
(856) 861-6320
Fax
(856) 888-2640
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 25MA07049100 NJ
Gynecology Physician 207VG0400X 25MA07049100 NJ
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 25MA07049100 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd
Suite 505
Voorhees, NJ 08043-4501

Mailing address

2301 E Evesham Rd Ste 111
Voorhees, NJ 08043-4504
Phone (856) 861-6320

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100320000048 NJ Practitioner - Preventive MedicinePractitioner - Obstetrics/Gynecology 3173658796

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
University of Pittsburgh School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 E Evesham Rd
Suite 111
Voorhees, NJ 08043-4504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC PastSince Oct 15, 2001 Accepting new patients
Regional Womens Health Group LLC Past Accepting new patients

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1972574523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 111",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-861-6320",
            "fax_number": "856-888-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 505",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-861-6320",
            "fax_number": "856-888-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "SUZANNE",
        "middle_name": "FULLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "NJ",
            "license": "25MA07049100",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA07049100",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "25MA07049100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.