1. Home
  2. Directory
  3. New Jersey
  4. Fair Lawn
  5. Counselor
  6. NPI Profile

JEANNIE KANG-SUH
NPI 1831757491
Counselor - Professional in Fair Lawn, NJ

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
17-07 ROMAINE ST, FAIR LAWN, NJ 07410(201) 794-6573 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannie Kang-suh NPPES

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

JEANNIE KANG-SUH (NPI 1831757491) is an individual professional provider in Fair Lawn, New Jersey, licensed in New Jersey (37AC00304400) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831757491
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJEANNIE KANG-SUH
Location Address17-07 ROMAINE STFair Lawn, NJ 07410-2150
Mailing Address236 Kenilworth RdRidgewood, NJ 07450-5209 · (201) 615-9563
Phone(201) 794-6573
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2019
✔ NPI 1831757491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00304400
17-07 ROMAINE ST, Fair Lawn, NJ 07410
Open in Google Maps ↗

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

Jeannie Kang-suh 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 ID2264967785
PECOS Enrollment IDI20241120004727
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.

Other Providers at the Same Location NPPES 20

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

STEPHANIE DOMNITZ
Counselor
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MICHAEL T LEUBLING MED, LPC, NCC
Counselor (Mental Health)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 796-9482
ALYSSA BRESSMAN MSW, LSW, CASAC
Social Worker
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MRS. TERESA ANN MARTINO M.A
Community/Behavioral Health
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
JENNI LIEBIG LSW
Social Worker
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MS. BRIGITTE LYNN BUCCELLATO LCSW
Social Worker (Clinical)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
PAULA ROA
Case Manager/Care Coordinator
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 838-5188
MARIAN COUCEIRO
Social Worker (Clinical)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660

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 Jeannie Kang-suh's NPI number?

The NPI number for Jeannie Kang-suh is 1831757491. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Jeannie Kang-suh located?

Jeannie Kang-suh practices at 17-07 Romaine St, Fair Lawn, NJ 07410. The listed phone number is (201) 794-6573.

What is Jeannie Kang-suh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeannie Kang-suh enrolled in Medicare?

Yes. Jeannie Kang-suh 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 Jeannie Kang-suh was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.