Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Susanna Im

Individual provider Nurse Practitioner · NPI 1003571621

Susanna Im is a Nurse Practitioner in Washington Township, New Jersey. Graduated from Rowan University School of Osteopathic Medicine in 2021, 5 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

435 Hurffville - Cross Keys Rd
Washington Township, NJ 08080
Phone: (856) 582-2500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01244400 (NJ)

Record details

NPI number1003571621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2021
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients398
Services billed 455 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Kennedy Medical Group Practice, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 414 clinicians in the practice; 12 are shown here.