Individual provider Active NPI

Susan Madeleine Guerra, FNP

  • Family Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1003021700
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00174000 Issued in NJ
Practice address
2106 New Rd
Suite D4
Linwood, NJ 08221-1046
Phone
(609) 926-8899
NPI assigned
May 14, 2007
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00174000 NJ Primary

Addresses

Primary practice location

2106 New Rd
Suite D4
Linwood, NJ 08221-1046

Mailing address

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone (609) 926-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090925000536 NJ Practitioner - Nurse Practitioner 4183770530 Reassigns benefits to 3 organizations
I20220523000754 NY Practitioner - Nurse Practitioner 4183770530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patricia C McCormack MD PCGroup PAC ID 7810150109, 10 clinicians
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

1550 Richmond Ave
Staten Island, NY 10314-1578

200 Tilton Rd
Suite 5
Northfield, NJ 08225-1270
Phone (212) 283-3000

515 N Wood Ave
Linden, NJ 07036-4038
Phone (908) 925-8877

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coyle S Connolly DO PA CurrentSince Jul 1, 2013 Accepting new patients
Schweiger Dermatology, PC CurrentSince May 20, 2019 Accepting new patients
Patricia C McCormack MD PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

4 Paragon Way
Freehold, NJ 07728
Phone (732) 462-9800

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

515 N Wood Ave
Linden, NJ 07036
Phone (908) 241-2030

2106 New Rd
Ste D4
Linwood, NJ 08221
Phone (609) 926-6474

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

1550 Richmond Ave
Ste 207
Staten Island, NY 10314
Phone (718) 698-1616

Interoperability endpoints

  • Direct secure messaging: susan.guerra@schweigerderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1003021700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899",
            "fax_number": "856-772-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD",
            "address_2": "SUITE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211046",
            "telephone_number": "609-926-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "SUSAN",
        "middle_name": "MADELEINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00174000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.