Active NPI
Susanne Roberts, R.N., N.P.C.
- Women's Health Nurse Practitioner
- West Long Branch, NJ
National Provider Identifier
1083640957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NN07628400
- Practice address
- 1019 Broadway
West Long Branch, NJ 07764-1326 - Phone
- (732) 229-6797
- Fax
- (732) 229-6893
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NN07628400 | NJ | Primary |
Addresses
Primary practice location
1019 Broadway
West Long Branch, NJ 07764-1326
Mailing address
2208 Alpine TRL
Neptune, NJ 07753-4469
Phone (732) 774-2607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN07628400 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Comprehensive Health Care of New Jersey | Past | Accepting new patients | |
| Lifeline Medical Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1821041617
-
- Obstetrics & Gynecology Physician
- W Long Branch, NJ
- NPI 1912246257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083640957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 ALPINE TRL",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534469",
"telephone_number": "732-774-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 BROADWAY",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641326",
"telephone_number": "732-229-6797",
"fax_number": "732-229-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SUSANNE",
"name_prefix": "Ms.",
"credential": "R.N., N.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NN07628400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.