Susanna Im
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
Practice location Address checks out
435 Hurffville - Cross Keys RdWashington Township, NJ 08080
Phone: (856) 582-2500
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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 number | 1003571621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 8, 2021 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 3, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | ROWAN 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 |