Sussman, Jay
Sussman, Jay is an individual health care provider with primary practice located at 401 Young Ave Suite 275, Moorestown NJ 08057-3130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is his primary health care specialty. Sussman, Jay can be contacted via phone (856) 291-8855.Contact Information
Primary practice address
401 Young Ave Suite 275
Moorestown NJ 08057-3130
Phone: (856) 291-8855
Fax: (856) 291-8844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA05311000 | New Jersey |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 25MA05311000 | New Jersey |
Profile Details
| NPI number | 1851368062 |
|---|---|
| LBN Legal business name | Sussman, Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jan 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851368062 | NPPES |
| Other | 2K5353 | HEALTHNET | |
| Other | BNS047 | HEALTHNET | |
| Other | 0004100785 | HEALTHNET | |
| MEDICAID | 0602701 | HEALTHNET |
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