Shore House Calls

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SHORE HOUSE CALLS

Practice address

828 Victory Ave
Brick, NJ 08723-6218

Phone

(732) 266-2955

Fax

(732) 262-9792

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Pamela SchlaeferNPI 1700561149

Title

Owner

Phone

(732) 266-2955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan P Schlaefer, APN-BC

  • Adult Health Nurse Practitioner
  • Brick, NJ
  • NPI 1700561149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1063198281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 VICTORY AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236218",
            "telephone_number": "732-266-2955",
            "fax_number": "732-262-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 VICTORY AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236218",
            "telephone_number": "732-266-2955",
            "fax_number": "732-262-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "SCHLAEFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-266-2955"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Cardiology Consultants LLC
• Shore Chiropractic LLC
• Shore Eye Associates PA (SightMD New Jersey)
• Shore Family Practice LLC
• Shore Home Physical Therapy LLC
• Shore Points Oral Surgery & Implant Center LLC
• Shore Psychiatric Associates LLC
• Shore Psychological Healthcare LLC
• Shore Radiation Oncology, LLC.
• Shore Rehabilitation Institute

• Adult Health Nurse Practitioner in Brick, NJ
• Providers in Brick, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.