Active NPI
Susan Jean Brillhart, MSN, RN, BC, CPNP
- Pediatric Registered Nurse
- New York, NY
National Provider Identifier
1104812718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 26NR06786500
- Practice address
- 199 Chambers St
S-782 BMCC
New York, NY 10007-1044 - Phone
- (917) 273-7726
- Fax
- (212) 748-7457
- NPI assigned
- Sep 20, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 368209 | NY | |
| Pediatric Registered Nurse | 163WP0200X | 26NR06786500 | NJ | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | F380906 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NN06786500 | NJ |
Addresses
Primary practice location
199 Chambers St
S-782 BMCC
New York, NY 10007-1044
Mailing address
515 Park Ave
1G
Hoboken, NJ 07030-6912
Phone (201) 420-6963
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
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR06786500 | NJ | MD | Pediatric Registered Nurse |
| 368209 | NY | MD | Pediatric Registered Nurse |
| 26NN06786500 | NJ | MD | Pediatric Nurse Practitioner |
| F380906 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104812718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 PARK AVE",
"address_2": "1G",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306912",
"telephone_number": "201-420-6963",
"fax_number": "212-748-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 CHAMBERS ST",
"address_2": "S-782 BMCC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071044",
"telephone_number": "917-273-7726",
"fax_number": "212-748-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLHART",
"first_name": "SUSAN",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MSN, RN, BC, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "368209",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NJ",
"license": "26NR06786500",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F380906",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NN06786500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.