Healthcare Provider Details

I. General information

NPI: 1639015787
Provider Name (Legal Business Name): SUZANNE METH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SADDLE RD
CEDAR KNOLLS NJ
07927-1901
US

IV. Provider business mailing address

6 SADDLE RD
CEDAR KNOLLS NJ
07927-1901
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-4451
  • Fax: 973-971-4451
Mailing address:
  • Phone: 973-971-4451
  • Fax: 973-971-4451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00020300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: