Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suzanne Dora Woller

Individual provider Physician Assistant · NPI 1700577418

Suzanne Dora Woller is a Physician Assistant in Jersey City, New Jersey. Qualified in 2023, 3 years ago. Practices with Premier Orthopaedics Andsports Medicine, PC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
Specialties on file
3

Practice location Address checks out

335 Grand St
Jersey City, NJ 07302
Phone: (201) 915-2000
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00833100 (NJ)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1700577418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address355 Grand St, Jersey City, NJ 07302-4321

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Premier Orthopaedics Andsports Medicine,Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jersey City