Individual provider Active NPI

Susan J Pingol, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Camden, NJ
National Provider Identifier
1306914171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26ND10592000 Issued in NJ
Practice address
1600 Haddon Ave
Camden, NJ 08103-3101
Phone
(856) 757-3836
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26ND10592000 NJ Primary

Addresses

Primary practice location

1600 Haddon Ave
Camden, NJ 08103-3101

Mailing address

PO Box 8505
Cherry Hill, NJ 08002-0505
Phone (856) 755-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000420 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193726222 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
85.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26ND10592000NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Jan 1, 2022 Accepting new patients
Mid-Atlantic Anesthesia Associates PA CurrentSince Oct 17, 2006 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2025 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Apr 1, 2025 Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Current Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 1, 2022 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC CurrentSince Jun 25, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2025 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

251 S Lincoln Ave
Vineland, NJ 08361
Phone (856) 691-8188

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306914171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8505",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020505",
            "telephone_number": "856-755-1616",
            "fax_number": "856-755-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGOL",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26ND10592000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.