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Active NPI 1730547480 Individual Practitioner Female Practitioner

Susan Ezzi , ANP

Nurse Practitioner - Gerontology • Voorhees, NJ

Professional Overview & Biography Verified Profile Summary

Susan Ezzi, ANP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Voorhees, NJ. Practice services are available at 1086 DUMONT CIR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1086 Dumont Cir

Voorhees, NJ 080433500

Telephone 8564549100
Associated Practice Facility / Clinic
🏢 1086 Dumont Circle Opco Llc Facility NPI 1952170342

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Voorhees, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 7.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Voorhees, NJ (550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
31 14 $89.00 $66.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 13 $138.00 $97.55

Medical Specialties & State Licenses

CMS Verified: 2021-09-22
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License NJ 26NJ00617200

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License NJ 26NJ00617200

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nj Board Of Nursing
26NO12373900 (NJ)
Commercial Insurance / Payer ID Nj Office Of The Attorney General Division Of Consumer Affairs Cds
P00686400 (NJ)
Commercial Insurance / Payer ID Nj Board Of Nursing
26NJ00617200 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kimberly Morley , PTA

Physical Therapy Assistant

NPI 1003022559

Physical Therapist Assistant

Carolline Da Silva , COTA, L

Occupational Therapy Assistant

NPI 1710627138

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 22, 2021

Registered at 1086 DUMONT CIR, VOORHEES, NJ 080433500 (Tel: 8564549100)

📍
Updated Business Mailing Address September 22, 2021

Registered at 131 MORRISTOWN RD, BASKING RIDGE, NJ 079201654 (Tel: 9086309305)

👤
Provider Name / Credentials Updated September 22, 2021

Recorded as SUSAN EZZI, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2021

Nurse Practitioner (License #26NJ00617200 in NJ)

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2016

Registered at 1930 ROUTE 35, WALL TOWNSHIP, NJ 077193538 (Tel: 7329747007)

📍
Updated Business Mailing Address February 09, 2016

Registered at 1930 ROUTE 35, WALL TOWNSHIP, NJ 077193538 (Tel: 7329747007)

👤
Provider Name / Credentials Updated February 09, 2016

Recorded as SUSAN RAND, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Nurse Practitioner (License #26NJ00617200 in NJ)

🟢
Initial NPI Registration & Enumeration February 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730547480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2016
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

131 Morristown Rd

Basking Ridge, NJ 079201654

Phone: 9086309305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.