| Ariel Susman | |
|
106 Straube Center Blvd Ste F-119 Pennington NJ 08534-1449 | |
| (609) 474-0614 | |
| Not Available |
| Full Name | Ariel Susman |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Straube Center Blvd Ste F-119, Pennington, New Jersey |
| Authorized Official Name and Position | Ariel Susman (OWNER) |
| Authorized Official Contact | 9543301930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel Susman 6 Maple Ln Pennington NJ 08534-3313 Ph: (954) 330-1930 | Ariel Susman 106 Straube Center Blvd Ste F-119 Pennington NJ 08534-1449 Ph: (609) 474-0614 |
| NPI Number | 1053121988 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 8820513641 |
|---|---|
| Medicare Enrollment ID | O20250415000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053121988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ariel Susman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881184232 PECOS PAC ID: 5193176014 Enrollment ID: I20240206000101 |
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