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DR. SUZANNE ELIZABETH PLAINE D.O.
NPI 1942433511
Pediatrics in Sea Girt, NJ

Active since August 31, 2009PECOS Enrolled
2130 ROUTE 35 STE B216, SEA GIRT, NJ 08750(732) 974-0228(732) 263-7938 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017, Apr 27, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Suzanne Elizabeth Plaine D.o. NPPES

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

DR. SUZANNE ELIZABETH PLAINE D.O. (NPI 1942433511) is an individual pediatrics provider in Sea Girt, New Jersey, licensed in New Jersey (25MB08652100) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942433511
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUZANNE ELIZABETH PLAINECredential: D.O.
Location Address2130 ROUTE 35 STE B216Sea Girt, NJ 08750-1010
Mailing Address2130 Route 35 Ste B216Sea Girt, NJ 08750-1010 · (732) 974-0228 · Fax (732) 263-7938
Phone(732) 974-0228
Fax(732) 263-7938
Sole ProprietorNo
Enumeration DateAugust 31, 2009
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1942433511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB08652100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2130 ROUTE 35 STE B216, Sea Girt, NJ 08750
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Other Identifiers 1

Medicaid0530972NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suzanne Elizabeth Plaine D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Suzanne Plaine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
13 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08750 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.

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 Plaine's NPI number?

The NPI number for Suzanne Plaine is 1942433511. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Suzanne Plaine located?

Suzanne Plaine practices at 2130 Route 35 Ste B216, Sea Girt, NJ 08750. The listed phone number is (732) 974-0228.

What is Suzanne Plaine's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suzanne Plaine enrolled in Medicare?

Yes. Suzanne Plaine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Plaine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Plaine reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suzanne Plaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Plaine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Suzanne Plaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Plaine was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.