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NPISignal

Individual Healthcare Provider

Susan Ann Roeloffs, M.D.

NPI Record: ActivePediatrics — Neurodevelopmental Disabilities
NPI1053364489
Peapack, New Jersey

Provider's NPPES record last updated: July 13, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1053364489
Primary Specialty
Pediatrics — Neurodevelopmental Disabilities
Practice Location
Peapack, New Jersey
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:04 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Neurodevelopmental Disabilities

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

    Taxonomy code 2080P0008X

Provider-Reported License Information

Pediatrics (New Jersey)
25MA06474600
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

Highland Ave

Peapack, New Jersey 07977-0339

Phone: (908) 234-0011

Record Information

Enumeration Date
May 18, 2006
Provider's NPPES Record Last Updated
July 13, 2026
NPISignal NPPES Dataset
August 2026

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