Active NPI
Suzanne Bracaglia, M.S.E.
- Specialist
- Hoboken, NJ
National Provider Identifier
1295107464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 747401131
- Practice address
- 311 Park Ave Apt 3R
Hoboken, NJ 07030-3823 - Phone
- (973) 986-5036
- NPI assigned
- Oct 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 747401131 | NY | Primary |
Addresses
Primary practice location
311 Park Ave Apt 3R
Hoboken, NJ 07030-3823
Mailing address
311 Park Ave Apt 3R
Hoboken, NJ 07030-3823
Phone (973) 986-5036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 747401131 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1295107464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 PARK AVE APT 3R",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303823",
"telephone_number": "973-986-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 PARK AVE APT 3R",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303823",
"telephone_number": "973-986-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACAGLIA",
"first_name": "SUZANNE",
"credential": "M.S.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "747401131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.