Yichien Su (NPI# 1568617520, PAC ID# 6103115316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1568617520 |
| PAC ID by PECOS | 6103115316 |
| Professional Enrollment ID | I20160511001248 |
| Full Name | Yichien Su |
| Organization Legal Name | NEUROCOGNITIVE INSTITUTE |
| Address |
111 Howard Blvd Mount Arlington NJ 07856-1315 |
| Phone Number | 9736010100 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 6204095185 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 111 Howard Blvd, Mount Arlington, NJ 07856-1315 | 9736010100 | NEUROCOGNITIVE INSTITUTE |
| 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 | 9736010100 | NEUROCOGNITIVE INSTITUTE |
| Organization Legal Name | NEUROCOGNITIVE INSTITUTE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geeta R Damaraju | Qualified Speech Language Pathologist | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Allison K Reynolds | Clinical Social Worker | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Shivani Raina | Qualified Speech Language Pathologist | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Gerald Tramontano | Psychologist, Clinical | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Street Address |
111 HOWARD BLVD |
| City | MOUNT ARLINGTON |
| State | NJ |
| Zip | 07856-1315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geeta R Damaraju | Qualified Speech Language Pathologist | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Allison K Reynolds | Clinical Social Worker | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Shivani Raina | Qualified Speech Language Pathologist | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Gerald Tramontano | Psychologist, Clinical | Neurocognitive Institute | 111 Howard Blvd, Suite 205, Mount Arlington, NJ 07856-1315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Marhefka | Nurse Practitioner | Advocare LLC | 400 Valley Rd, Suite 105, Mount Arlington, NJ 07856-2316 |
| Jeffrey H Aroesty | Otolaryngology | Advocare LLC | 400 Valley Rd, Suite 105, Mount Arlington, NJ 07856-2316 |
| Charissa J Wong | Ophthalmology | Roxbury Eye Center PC | 400 Valley Rd, Suite 106, Mt Arlington, NJ 07856-2316 |
| Susan L Giacalone | Chiropractic | 180 Howard Blvd, Suite 4, Mount Arlington, NJ 07856-2318 | |
| Barbara A Dillon | Optometry | 180 Howard Blvd, Suite 18, Mount Arlington, NJ 07856-2318 |
| City | MOUNT ARLINGTON |
| Zip Code | 07856 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | MOUNT ARLINGTON + SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Yichien Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.