Organization Active NPI

Comprehensive Care Providers

  • Acute Care Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1073322475
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
COMPREHENSIVE CARE PROVIDERS
Practice address
35 Sandstone Dr
Sicklerville, NJ 08081-1659
Phone
(609) 906-0751
NPI assigned
Jan 1, 2025
Last updated
Jan 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Authorized official

Name
Suzette Washington, APNNPI 1427670272
Title
Owner/Manager/Emplyoyee
Phone
(609) 906-0751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X Primary

Addresses

Primary practice location

35 Sandstone Dr
Sicklerville, NJ 08081-1659

Mailing address

35 Sandstone Dr
Sicklerville, NJ 08081-1659
Phone (609) 906-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305000413 NJ Part B Supplier - Clinic/Group Practice 4981125127 Receives reassigned benefits from 1 practitioner
Practice locations: Sicklerville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1073322475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SANDSTONE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811659",
            "telephone_number": "609-906-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SANDSTONE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811659",
            "telephone_number": "609-906-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER/MANAGER/EMPLYOYEE",
        "authorized_official_telephone_number": "609-906-0751",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.