Active NPI
Susan Anderson, R.N.
- Certified Registered Nurse Anesthetist
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00622200
- Practice address
- 125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962 - Phone
- (718) 666-1342
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00622200 | NJ | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 26NR15594400 | NJ | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 26NJ00622200 | NJ |
Addresses
Primary practice location
125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962
Mailing address
125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962
Phone (718) 666-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Rutgers Health RWJ Anesthesiology G
New Brunswick, NJ 08901-1928
Phone (732) 937-8841
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15594400 | NJ | MD | Critical Care Medicine Registered Nurse |
| 26NJ00622200 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Critical Care Medicine | Current | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841
125 Paterson St
#3100
New Brunswick, NJ 08901
Phone (732) 235-6153
317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 3
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Critical Care Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1154795607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "CAB 3100",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "718-666-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "CAB 3100",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "718-666-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SUSAN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00622200",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NJ",
"license": "26NR15594400",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NJ",
"license": "26NJ00622200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.