Individual provider Active NPI

Susan Jeanne Mason, APRN,BC

  • Occupational Health Nurse Practitioner
  • Lakehurst, NJ
National Provider Identifier
1164417242
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
26NN06466000 Issued in NJ
Practice address
Lakehurst Naval Health Clinic
Naes Lansdowne Rd
Lakehurst, NJ 08733-5006
Phone
(732) 323-1490
Fax
(732) 323-2632
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 26NN06466000 NJ Primary

Addresses

Primary practice location

Lakehurst Naval Health Clinic
Naes Lansdowne Rd
Lakehurst, NJ 08733-5006

Mailing address

18 Pine Fork Dr
Toms River, NJ 08755-5121
Phone (732) 341-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NN06466000NJMDOccupational Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1164417242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PINE FORK DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555121",
            "telephone_number": "732-341-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKEHURST NAVAL HEALTH CLINIC",
            "address_2": "NAES LANSDOWNE RD",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087335006",
            "telephone_number": "732-323-1490",
            "fax_number": "732-323-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SUSAN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NJ",
            "license": "26NN06466000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakehurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.