Individual provider Active NPI

Suzanne Elizabeth Floyd, APN, C

  • Psychiatric/Mental Health Nurse Practitioner
  • Manasquan, NJ
National Provider Identifier
1215192877
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NNO9715700 Issued in NJ
Practice address
2640 Highway 70 Ste 24
Manasquan, NJ 08736-2609
Phone
(732) 223-1440
NPI assigned
Jul 23, 2008
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NNO9715700 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NNO9715700 NJ Primary

Addresses

Primary practice location

2640 Highway 70 Ste 24
Manasquan, NJ 08736-2609

Mailing address

2640 Highway 70 Ste 24
Manasquan, NJ 08736-2609
Phone (732) 223-1440

Other names 1

  • Miss Suzanne Elizabeth Floyd Former name

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
I20230811002840 NJ Practitioner - Nurse Practitioner 0648632356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brick Psychiatric Services IncGroup PAC ID 0749367654, 3 clinicians

Practice addresses (Care Compare)

2640 Hwy 70
Manasquan, NJ 08736-2609
Phone (732) 202-0622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NNO9715700NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brick Psychiatric Services Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

2640 Highway 70
Ste 12-201
Manasquan, NJ 08736
Phone (732) 202-0622

2640 Route 70
Bldg 12
Manasquan, NJ 08736
Phone (732) 202-0622

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1215192877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 24",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-223-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 24",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-223-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APN, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NNO9715700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NNO9715700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "FLOYD",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "APN, C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.