Active NPI
Susan A Pardi, NURSE PRACTITIONER
- Cardiovascular Disease Physician
- Morristown, NJ
National Provider Identifier
1154398329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 26NNO6681300
- Practice address
- 100 Madison Ave
Morristown, NJ 07960 - Phone
- (973) 971-4179
- Fax
- (973) 971-7905
- NPI assigned
- Mar 7, 2006
- Last updated
- Dec 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN06681300 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 26NNO6681300 | NJ | Primary |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 971-4179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7482205 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NNO6681300 | NJ | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1154398329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "973-971-4179",
"fax_number": "973-971-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07960",
"telephone_number": "973-971-4179",
"fax_number": "973-971-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDI",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN06681300",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "26NNO6681300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7482205",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.