Individual provider Active NPI

Susan Bersin, ANP

  • Adult Health Nurse Practitioner
  • Bay Head, NJ
National Provider Identifier
1346618840
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00482600 Issued in NJ
Practice address
137 Grove St Apt 2
Bay Head, NJ 08742-5027
Phone
(201) 543-1515
NPI assigned
Sep 14, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00482600 NJ Primary

Addresses

Primary practice location

137 Grove St Apt 2
Bay Head, NJ 08742-5027

Mailing address

1355 Campus Pkwy
Suite 103
Wall, NJ 07719-6840
Phone (732) 202-8071

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
I20151217001195 NJ Practitioner - Nurse Practitioner 6901107846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00482600NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Adult Health Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Adult Health CurrentSince Nov 30, 2020 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Interoperability endpoints

  • Direct secure messaging: sbersin48237@epicdirect.rwjbh.org

Organizations & group practices 4

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 1

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1346618840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CAMPUS PKWY",
            "address_2": "SUITE 103",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077196840",
            "telephone_number": "732-202-8071",
            "fax_number": "732-922-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GROVE ST APT 2",
            "city": "BAY HEAD",
            "state": "NJ",
            "postal_code": "087425027",
            "telephone_number": "201-543-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSIN",
        "first_name": "SUSAN",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00482600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Head, NJ

Sources for this page

Verify at the official NPI Registry.