Active NPI
Susan Elizabeth Shirato, DNP, CRNP
- Nurse Practitioner
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00472800
- Practice address
- 200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638 - Phone
- (856) 840-4534
- Fax
- (856) 762-2853
- NPI assigned
- Feb 18, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00472800 | NJ | Primary |
Addresses
Primary practice location
200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 840-4534
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD4829 | Other | PA | TPI RAILROAD MEDICARE GROUP ID |
| 0672122 | Medicaid | NJ | |
| 597586 | Other | PA | TPI GROUP MEDICARE NUMBER |
| 1007278000 | Other | PA | TPI PA MEDICAID GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sshirato231674@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00472800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCR Manorcare Medical Services of Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Practitioner | Current | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
10 Sterling Dr
Piscataway, NJ 08854
Phone (732) 917-2900
113 Route 73
Voorhees, NJ 08043
Phone (856) 809-3500
200 Bowman Dr
Ste E385
Voorhees, NJ 08043
Phone (856) 247-7220
L2540
Columbus, OH 43260
Interoperability endpoints
- sshirato231674@directvirtua.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Voorhees, NJ
- NPI 1912457755
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1679978092
Nurse Practitioner
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1093055709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-840-4534",
"fax_number": "856-762-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOWMAN DR STE E385",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439638",
"telephone_number": "856-840-4534",
"fax_number": "856-762-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRATO",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DNP, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00472800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI RAILROAD MEDICARE GROUP ID",
"identifier": "CD4829",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0672122",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI GROUP MEDICARE NUMBER",
"identifier": "597586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI PA MEDICAID GROUP",
"identifier": "1007278000",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sshirato231674@directvirtua.org",
"affiliation": "N",
"address_1": "200 Bowman Dr Ste E385",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.