SUSANNA IM
NPI 1003571621
Nurse Practitioner in Washington Township, NJ

Active since November 08, 2021PECOS EnrolledAccepts Medicare Assignment
435 HURFFVILLE - CROSS KEYS RD, WASHINGTON TOWNSHIP, NJ 08080(856) 582-2500 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2022, Nov 8, 2021 (2 updates tracked since 2021).

About Susanna Im NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNA IM (NPI 1003571621) is an individual nurse practitioner in Washington Township, New Jersey, licensed in New Jersey (26NJ01244400) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1003571621
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSANNA IM
Location Address435 HURFFVILLE - CROSS KEYS RDWashington Township, NJ 08080
Mailing Address92 Peregrine DrVoorhees, NJ 08043-1661 · (856) 246-2294
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2021
Enumeration DateNovember 8, 2021
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
NPI 1003571621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NJ · 26NJ01244400
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

435 HURFFVILLE - CROSS KEYS RD, Washington Township, NJ 08080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susanna Im is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901299700
PECOS Enrollment IDI20220131000003
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
362 services325 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services74 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
435 HURFFVILLE - CROSS KEYS RD, KENNEDY HEALTH SYSTEM
SEWELL, NJ 08080
Technician, Other
435 HURFFVILLE - CROSS KEYS RD
SEWELL, NJ 08080
Nurse Practitioner
435 HURFFVILLE - CROSS KEYS RD
SEWELL, NJ 08080
Anesthesiology
435 HURFFVILLE - CROSS KEYS RD
WASHINGTON TOWNSHIP, NJ 08080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003571621, enumerated as an "individual" on November 08, 2021.

The provider is located at 435 HURFFVILLE - CROSS KEYS RD WASHINGTON TOWNSHIP, NJ 08080 and the phone number is (856) 582-2500.

Nurse Practitioner with taxonomy code 363L00000X.

Susanna Im is affiliated with: JEFFERSON STRATFORD HOSPITAL and THOMAS JEFFERSON UNIVERSITY HOSPITAL.