Susan Bell

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN05748000 Issued in NJ

Practice address

505 Goffle Rd
Ridgewood, NJ 07450-4027

Phone

(201) 612-1006

Fax

(201) 612-1091

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1063963437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-612-1006",
            "fax_number": "201-612-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-612-1006",
            "fax_number": "201-612-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN05748000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari A Becker, PH.D.
• William Becker
• Behaved Brain
• Kazem Behnam, MD
• Melody Shahrzad Behnam, MD
• Khatuna Topadze Belov, MD
• David M Benderson, M.D.
• Beth L Benjamin, M.D.
• Andrew Shaw Benotakeia, MD
• Lynn Benson, MSW

• Pediatric Nurse Practitioner in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.