RANDY SU (NPI# 1891137857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891137857 |
| Entity Type | Individual |
| Full Name | RANDY SU |
| Credential | D.O. |
| Practice Address |
2250 Chapel Ave W Suite 100 Cherry Hill NJ 08002-2051 |
| Mailing Address |
1120 Route 73 Ste 300 Mount Laurel NJ 08054-5113 |
| Practice Telephone | 8564839000 |
| Mailing Telephone | 8567974772 |
| Mailing Fax Number | 8568611364 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS018409 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1891137857 | 01 |
| Street Address |
2250 CHAPEL AVE W SUITE 100 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295705523 | Lilli Ann Ciesielski | Clinical Nurse Specialist | 2250 Chapel Ave W, Suite 100, Cherry Hill, NJ 08002-2051 | 2006-01-26 |
| 1689177800 | Danielle Weitzer | Student in an Organized Health Care Education/Training Program | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2018-03-14 |
| 1295262509 | Irene Lakhiani | Student in an Organized Health Care Education/Training Program | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2017-05-17 |
| 1013365931 | Badal D Rana | Psychiatry & Neurology | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2016-06-01 |
| 1588011597 | Yirong Chen | Psychiatry & Neurology | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2016-05-19 |
| 1679958623 | Ebonik Gibson | Counselor | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2015-07-20 |
| 1982085148 | Jennifer Dabrow | Psychiatry & Neurology | 2250 Chapel Ave W, Suite 100, Cherry Hill, NJ 08002 | 2015-06-13 |
| 1891192050 | Chien Yin Cepeda | Registered Nurse | 2250 Chapel Ave W, Suite 100, Cherry Hill, NJ 08002-2051 | 2014-12-03 |
| 1831598788 | Alaukik Bhasin | Psychiatry & Neurology | 2250 Chapel Ave W, Cherry Hill, NJ 08002-2051 | 2014-08-16 |
| 1730512518 | Michael David M Metzger | Student in an Organized Health Care Education/Training Program | 2250 Chapel Ave W, Suite 100, Cherry Hill, NJ 08002-2051 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673082 | Depression Doctors | Psychiatry & Neurology | 900 Kings Hwy N Ste 204, Cherry Hill, NJ 08034-1516 | 2019-01-24 |
| 1083033484 | Thomas Driscoll | Psychiatry & Neurology | 57 Haddonfield Rd Ste 210, Cherry Hill, NJ 08002-4813 | 2014-04-14 |
| 1972732543 | Aneela Khan | Psychiatry & Neurology | 823 Richard Rd, Cherry Hill, NJ 08034-1837 | 2009-07-04 |
| 1750545752 | Nancy J Denbo | Psychiatry & Neurology | 412 Kings Croft, Cherry Hill, NJ 08034-1103 | 2008-07-18 |
| 1336275270 | Frank Orland | Psychiatry & Neurology | 314 Westminster Ave, Cherry Hill, NJ 08002-2321 | 2007-02-26 |
| 1114086642 | Delano R Heard | Psychiatry & Neurology | 111 Chestnut Street, Suite 104, Cherry Hill, NJ 08002-1834 | 2006-12-08 |
| 1023196250 | Perry Howard Zand | Psychiatry & Neurology | 2201 Chapel Avenue West, Suite 104, Cherry Hill, NJ 08002-2048 | 2006-11-02 |
| 1922196278 | Albert A Kaplan | Psychiatry & Neurology | One Mall Drive, Ste 920, Cherry Hill, NJ 08002 | 2006-10-11 |
| 1679667273 | Ian Geller | Psychiatry & Neurology | 1868 Greentree Rd, Cherry Hill, NJ 08003-2031 | 2006-10-03 |
| 1649363409 | Anju Nayar | Psychiatry & Neurology | 1245 Brace Road, Cherry Hill, NJ 08034 | 2006-10-02 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.