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SUZANNE DORA WOLLER
NPI 1700577418
Physician Assistant - Surgical in Jersey City, NJ

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
335 GRAND STREET, JERSEY CITY, NJ 07302(201) 915-2000 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Jan 26, 2026, Dec 12, 2025 and 3 more (6 updates tracked since 2023).

About Suzanne Dora Woller NPPES

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

SUZANNE DORA WOLLER (NPI 1700577418) is an individual surgical provider in Jersey City, New Jersey, licensed in New Jersey (25MP00833100) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700577418
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSUZANNE DORA WOLLER
Location Address335 GRAND STREETJersey City, NJ 07302
Mailing Address355 Grand StJersey City, NJ 07302-4321
Phone(201) 915-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateJune 5, 20266 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1700577418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NJ · 25MP00833100
Also ListedPhysician AssistantTaxonomy 363A00000X
335 GRAND STREET, Jersey City, NJ 07302
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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

Suzanne Dora Woller 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 ID8022458579
PECOS Enrollment IDI20240501000038
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Woller's NPI number?

The NPI number for Suzanne Woller is 1700577418. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Suzanne Woller located?

Suzanne Woller practices at 335 Grand Street, Jersey City, NJ 07302. The listed phone number is (201) 915-2000.

What is Suzanne Woller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Suzanne Woller enrolled in Medicare?

Yes. Suzanne Woller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Suzanne Woller was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.