Individual provider Active NPI

Susannah Bochner, FNP

  • Family Nurse Practitioner
  • Maplewood, NJ
National Provider Identifier
1144662198
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00839000 Issued in NJ
Practice address
20 Saint Lawrence Ave
Maplewood, NJ 07040-1118
Phone
(610) 213-2406
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 643799 NY
Family Nurse Practitioner 363LF0000X 338667 NY
Family Nurse Practitioner 363LF0000X 26NJ00839000 NJ Primary

Addresses

Primary practice location

20 Saint Lawrence Ave
Maplewood, NJ 07040-1118

Mailing address

20 Saint Lawrence Ave
Maplewood, NJ 07040-1118
Phone (610) 213-2406

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723000185 NJ Practitioner - Nurse Practitioner 6305145616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

350 Engle St
RM 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
643799NYMDRegistered Nurse
26NJ00839000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Jun 2, 2025 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients
Columbia University Registered Nurse Past Accepting new patients
Medical Associates of Englewood, PC PastSince Jun 2, 2025 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

350 Engle St
Rm 5518
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

62 Ridge Rd
North Arlington, NJ 07031
Phone (201) 991-6509

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1144662198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SAINT LAWRENCE AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401118",
            "telephone_number": "610-213-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SAINT LAWRENCE AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401118",
            "telephone_number": "610-213-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHNER",
        "first_name": "SUSANNAH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643799",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00839000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.