DR. SUSAN ANN ROELOFFS (NPI# 1053364489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053364489 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ANN ROELOFFS |
| Credential | M.D. |
| Practice Address |
Highland Ave Peapack NJ 07977-0339 |
| Mailing Address |
Highland Ave P. O. Box 339 Peapack NJ 07977-0339 |
| Practice Telephone | 9082340011 |
| Practice Fax Number | 9082342635 |
| Mailing Telephone | 9082340011 |
| Mailing Fax Number | 9082342635 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
25MA06474600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8854203 | 05 |
| Street Address |
HIGHLAND AVE |
| City | PEAPACK |
| State | NJ |
| Zip Code | 07977-0339 |
| 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 |
| 1255396974 | Susan Marie Harabedian | Physician Assistant | 100 Route 206 North Pfizer,inc., Peapack, NJ 07977 | 2006-04-18 |
| 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 |
| Find all providers in zip 07977 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209223 | Gerald Novak | Pediatrics | 17 Concord Ln, Skillman, NJ 08558-1606 | 2016-12-14 |
| 1518050129 | Barbara J Evans | Pediatrics | 36 Knickerbocker Dr, Belle Mead, NJ 08502-4544 | 2006-10-02 |
| 1801862172 | Thomas A Rugino | Pediatrics | 94 Stevens Rd, Toms River, NJ 08755-1237 | 2006-02-27 |
| 1356948194 | Center for Child & Family Development | Pediatrics | 145 Washington St, Morristown, NJ 07960-8626 | 2020-10-05 |
| 1740849793 | Pops Therapy LLC | Pediatrics | 60 Pompton Ave Rear, Verona, NJ 07044-2946 | 2019-06-12 |
| 1861625907 | Tanishia Williams | Pediatrics | 3575 Quakerbridge Rd, Trenton, NJ 08619-1271 | 2009-08-24 |
| 1962661587 | Catherine D. Nicolaides, Md, Inc. | Pediatrics | 975 Tuckerton Rd, Marlton, NJ 08053-2663 | 2008-06-09 |
| 1316156334 | Empowered Learning Center of Monmouth | Pediatrics | 615 Hope Rd, Bldg. 5b, Eatontown, NJ 07724-1277 | 2007-05-22 |
| 1619199551 | Michael Howard Geffner | Pediatrics | 1 Merck Dr, Ws3d-90, Whitehouse Station, NJ 08889-3400 | 2007-05-02 |
| 1902971971 | Vinod Kumari Goyal | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-11-22 |
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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.