Susan F McColley, RN, MSN, APNC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NN97986 Issued in NJ

Practice address

1550 Park Ave
South Plainfield, NJ 07080-5565

Phone

(908) 757-4222

NPI assigned

Mar 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114044161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HAMILTON AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631915",
            "telephone_number": "732-738-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805565",
            "telephone_number": "908-757-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLEY",
        "first_name": "SUSAN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, APNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NN97986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8773700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Edith Ganthier
• Gladys Martinez, LCSW
• Ratan Marwah
• Bindumol Mathew, PHARM D
• Mabel Amaryllis Mayorga, M.D.
• Jennifer Ann McCue, LAC, NCC
• Chikere McIntosh, DPT
• Alisha McLean, CERTIFIED DOULA
• Nancy Dudas Medaglia
• Vilmarid Medina

• Pediatric Nurse Practitioner in South Plainfield, NJ
• Providers in South Plainfield, 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 Jul 8, 2007; 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.