MS. SUSAN MARIE HARABEDIAN (NPI# 1255396974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255396974 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE HARABEDIAN |
| Credential | PA-C |
| Practice Address |
100 Route 206 North Pfizer,inc. Peapack NJ 07977 |
| Mailing Address |
16 Morrison St Basking Ridge NJ 07920-1776 |
| Practice Telephone | 9089016150 |
| Practice Fax Number | 9089011837 |
| Mailing Telephone | 9082219002 |
| Mailing Fax Number | 9089011837 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00047700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 ROUTE 206 NORTH PFIZER,INC. |
| City | PEAPACK |
| State | NJ |
| Zip Code | 07977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689755688 | Vivian M Santana | Personal Emergency Response Attendant | 100 Route 206 North, Peapack, NJ 07977 | 2006-10-17 |
| 1215044771 | Thomas J Bozack | Chiropractor | 151 Main Street, Peapack, NJ 07977 | 2006-08-23 |
| 1356382501 | Christine P Mand | Internal Medicine | Matheny Medical and Educational Center, Highland Avenue, Peapack, NJ 07977 | 2006-06-09 |
| 1770546020 | Matheny School and Hospital,inc. | Special Hospital | 65 Highland Ave, Peapack, NJ 07977 | 2006-04-08 |
| 1689637936 | Matheny School and Hospital | Clinic/Center | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
| 1871556399 | Matheny School and Hospital | Durable Medical Equipment & Medical Supplies | 1467 Highland Ave, Peapack, NJ 07977 | 2006-04-07 |
| 1912383977 | Matheny | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Highland Avenue, Peapack, NJ 07977 | 2015-07-31 |
| 1417233750 | Christine Marie O'hea | Dentist | 181 Main Street, Peapack, NJ 07977 | 2011-11-01 |
| 1992914147 | Alba Nydia Mendez Morales | Pediatrics | 65 Highland Avenue, Peapack, NJ 07977 | 2007-05-22 |
| 1366490336 | Matheny School and Hospital | Intermediate Care Facility, Mental Illness | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-05-04 |
| Find all providers in zip 07977 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.