Dr Susan Ann Roeloffs, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in Peapack, New Jersey. Her current practice location is
Highland Ave, Peapack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 234-0011.
Dr Susan Ann Roeloffs is licensed to practice in New Jersey (license number 25MA06474600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053364489.
Physician's Profile
Full Name | Dr Susan Ann Roeloffs |
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Gender | Female |
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Speciality | Pediatrics - Neurodevelopmental Disabilities |
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Location | Highland Ave, Peapack, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053364489
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254468986
- Enrollment ID: I20131024000314
Medical Identifiers
Medical identifiers for Dr Susan Ann Roeloffs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053364489 | NPI | - | NPPES |
8854203 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 25MA06474600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Ann Roeloffs is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Susan Ann Roeloffs, MD Highland Ave, P. O. Box 339, Peapack, NJ 07977-0339 Ph: (908) 234-0011 | Dr Susan Ann Roeloffs, MD Highland Ave, Peapack, NJ 07977-0339 Ph: (908) 234-0011 |
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