Individual provider Active NPI

Wilma Isabel Suero Castro

  • Family Nurse Practitioner
  • Maple Shade, NJ
National Provider Identifier
1184581050
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15492700 Issued in NJ
Practice address
51 Laurel Dr Apt D
Maple Shade, NJ 08052-1476
Phone
(856) 408-8127
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15492700 NJ Primary
Family Nurse Practitioner 363LF0000X 358471 NY

Addresses

Primary practice location

51 Laurel Dr Apt D
Maple Shade, NJ 08052-1476

Mailing address

51 Laurel Dr Apt D
Maple Shade, NJ 08052-1476
Phone (856) 408-8127

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
I20260414002415 NJ Practitioner - Nurse Practitioner 0648746081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2509 Park Ave
Suite 1a
South Plainfield, NJ 07080-5300

51 Laurel Dr
Apt D
Maple Shade, NJ 08052-1476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15492700NJMDFamily Nurse Practitioner
358471NYMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1184581050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LAUREL DR APT D",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521476",
            "telephone_number": "856-408-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LAUREL DR APT D",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521476",
            "telephone_number": "856-408-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUERO CASTRO",
        "first_name": "WILMA",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15492700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

Verify at the official NPI Registry.