Active NPI
Susan Bersin, ANP
- Adult Health Nurse Practitioner
- Bay Head, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00482600
- 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, 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00482600 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Adult Health | Current | Accepting new patients |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Adult Health | Current | 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
- 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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Adult Health
-
dba Princeton HealthCare Medical Associates
- Internal Medicine Physician
- Plainsboro, NJ
- NPI 1518194323
Adult Health
-
dba Comprehensive Ob/Gyn Care of Princeton
- Obstetrics & Gynecology Physician
- Robbinsville, NJ
- NPI 1194017475
-
dba Montgomery Internal Medicine Group - Princeton Medicine
- Internal Medicine Physician
- Princeton, NJ
- NPI 1770176372
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hamilton, NJ
- NPI 1629069638
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.