Susan Fedoruk, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NO07839100 Issued in NJ

Practice address

425 Jack Martin Blvd
Brick, NJ 08724-7732

Phone

(732) 836-4504

Fax

(732) 836-4532

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

81.33 of 100Reported as group

Quality

66.38

Promoting interoperability

100

Improvement activities

40

Cost

71.39

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.fedoruk@direct.hackensackmeridian.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Community Hospital Group Inc

  dba Jri Physical Medicine

  • Specialist
  • Edison, NJ
  • NPI 1225251754
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment NPD
• HMH Hospitals Corporation

  dba JFK Community Medical Group

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1356016661
  Medicare reassignment NPD
• Community Hospital Group, Inc.

  dba New Jersey Neuroscience Institute

  • Neurology Physician
  • Edison, NJ
  • NPI 1487680013
  NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMMG New Jersey Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• HMH Hospitals Corporation

  dba Meds to Beds Pharmacy

  • Clinic Pharmacy
  • Hackensack, NJ
  • NPI 1659139376
  NPD
• Hackensack Meridian Health Medical Group - Complex Care PC

  dba HMHMG Complex Care

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626
  NPD (past)
• Kenneth Faistl, MD,PA

  dba Family Practice of Central Jersey

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1942277223
  NPD (past)
• Shore Health Group, PC

  • Internal Medicine Physician
  • Ocean, NJ
  • NPI 1902944416
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1336163716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-836-4504",
            "fax_number": "732-836-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-836-4504",
            "fax_number": "732-836-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORUK",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO07839100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Union Dental PA
• Michelle Fanous, D.O.
• Rubab Farooq, MD
• Danielle Farr, M.S. CCC-SLP
• Samantha Marie Faul, LAC
• Charlee W. Feeney, D.O.
• Lindsay Beth Fehring, NP
• Vincent Peter Felici, D.D.S.
• Jenna Feola
• Aysha Ferdausi

• Nurse Practitioner in Brick, NJ
• Providers in Brick, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.