DR. SUZANNE W BOTROUS (NPI# 1992861116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992861116 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE W BOTROUS |
| Credential | M.D. |
| Practice Address |
185 Central Ave Ste 308 East Orange NJ 07018-3318 |
| Practice Telephone | 9736783776 |
| Practice Fax Number | 9736786065 |
| Mailing Telephone | 9736783776 |
| Mailing Fax Number | 9736786065 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MA061272 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6381006 | 05 |
| Street Address |
185 CENTRAL AVE STE 308 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1154662153 | A1 Medical Care PC | Clinic/Center | 310 Central Ave, Suite 310, East Orange, NJ 07018-2835 | 2013-03-15 |
| 1992942098 | East Orange General Hospital | Clinic/Center | 300 Central Ave, East Orange, NJ 07018-2819 | 2009-01-12 |
| 1932316403 | Agape Pediatric Center | Clinic/Center | 185 Central Ave, Suite 401, East Orange, NJ 07018-3332 | 2007-05-16 |
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|---|---|---|---|---|
| 1669089355 | Trans Pacific Medical PC | Clinic/Center | 1590 Anderson Ave Ph 1, Fort Lee, NJ 07024-2711 | 2020-09-26 |
| 1700402609 | Loihle Medical | Clinic/Center | 93 Montgomery St, Bloomfield, NJ 07003-6003 | 2020-06-17 |
| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| 1790253722 | Completecure Medical Associates, LLC | Clinic/Center | 1005 Clifton Ave Ste 201, Clifton, NJ 07013-3523 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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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.