Individual provider Active NPI

Susan Njuguna, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tewksbury, MA
National Provider Identifier
1134528268
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2270726 Issued in MA
Practice address
10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone
(435) 764-0756
Fax
(435) 764-0756
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN2270726 MA Primary

Addresses

Primary practice location

10 Cayuga Rd
Tewksbury, MA 01876-1215

Mailing address

10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone (435) 764-0756

Other practice location 1

10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone (435) 764-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000185 MA Practitioner - Nurse Practitioner 6800215104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dandjs Psychiatry and Services LLCGroup PAC ID 8921427220, 2 clinicians

Practice addresses (Care Compare)

10 Cayuga Rd
Tewksbury, MA 01876-1215
Phone (435) 764-0756

224 Salem St
Swampscott, MA 01907-1396
Phone (978) 284-9694

34 Salem St
Suite 201
Reading, MA 01867-4614
Phone (435) 764-0756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2270726MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D&JS Psychiatry & Services, LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Comfort Home Care LLC Past Accepting new patients

Locations

144 Merrimack St
Ste 401
Lowell, MA 01852

55 Concord St
Ste 204
North Reading, MA 01864
Phone (833) 394-7998

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1134528268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAYUGA RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761215",
            "telephone_number": "435-764-0756",
            "fax_number": "435-764-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CAYUGA RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761215",
            "telephone_number": "435-764-0756",
            "fax_number": "435-764-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Cayuga Rd",
            "address_purpose": "LOCATION",
            "city": "Tewksbury",
            "state": "MA",
            "postal_code": "018761215",
            "country_code": "US",
            "telephone_number": "435-764-0756",
            "fax_number": "435-764-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJUGUNA",
        "first_name": "SUSAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2270726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.