Susan Ross Jennings, BS RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NR80163 Issued in NJ

Practice address

23 Wallace Dr
Chestnut Ridge, NY 10977-7222

Phone

(845) 735-4675

NPI assigned

Feb 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1336471952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WALLACE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777222",
            "telephone_number": "845-735-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WALLACE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777222",
            "telephone_number": "845-735-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "SUSAN",
        "middle_name": "ROSS",
        "name_prefix": "Ms.",
        "credential": "BS RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "570275-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "NR80163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naika A Homicile
• Leah Hurwitz
• Reena Jacob, PHARMD
• Carol P Jacobs
• Edith Jean-Baptiste
• Qihui Jin, LAC
• Joanne Florio
• Karen Johns, RN
• Annick Joseph
• Arker Joseph

• Registered Nurse in Chestnut Ridge, NY
• Providers in Chestnut Ridge, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.