Individual provider Active NPI

Shirah Suero, CNM

  • Advanced Practice Midwife
  • Little Silver, NJ
National Provider Identifier
1346921939
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00083800 Issued in NJ
Practice address
34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248
Phone
(732) 747-9310
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00083800 NJ Primary

Addresses

Primary practice location

34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248

Mailing address

130 Seward Ave
Toms River, NJ 08753-6628
Phone (732) 575-4566

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415003320 NJ Practitioner - Certified Nurse Midwife (CNM) 1951740612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Woman'S Place LLCGroup PAC ID 4688681059, 11 clinicians

Practice addresses (Care Compare)

310 Rte 34
Colts Neck, NJ 07722-1903
Phone (732) 845-0606

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00083800NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
A Woman'S Place, LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

310 State Route 34
Colts Neck, NJ 07722
Phone (732) 578-9640

820 County Line Rd E
Lakewood, NJ 08701
Phone (732) 364-2711

820 County Line Rd E
Ste 2A
Lakewood, NJ 08701

34 Sycamore Ave
Ste 2A
Little Silver, NJ 07739
Phone (732) 747-9310

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1346921939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SEWARD AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536628",
            "telephone_number": "732-575-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391248",
            "telephone_number": "732-747-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUERO",
        "first_name": "SHIRAH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00083800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.