Susan J Wilson, RN,APN-C

Primary specialty

Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X

License

26NR076554700 Issued in NJ

Practice address

210 South Shore Road, Suite 106
Hope Community Cancer Center
Marmora, NJ 08223-1271

Phone

(609) 390-7888

Fax

(609) 390-2614

NPI assigned

Aug 13, 2006

Last updated

Sep 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Pennsylvania State University College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Locations

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.

• Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Toms River, NJ
  • NPI 1801850243
  Medicare reassignment Care Compare group NPD
• Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Belleville, NJ
  • NPI 1447315502
  NPD
• Hope Community Cancer Center, LLC

  • Hematology & Oncology Physician
  • Marmora, NJ
  • NPI 1114914694
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1396757811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTH SHORE ROAD, SUITE 106",
            "address_2": "HOPE COMMUNITY CANCER CENTER",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231271",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH SHORE ROAD, SUITE 106",
            "address_2": "HOPE COMMUNITY CANCER CENTER",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231271",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "RN,APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "NJ",
            "license": "26NC07654700",
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "NJ",
            "license": "26NR076554700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Super Market of NJ LP (Shoprite Pharmacy of Marmora)
• Erica Walsh
• Wayne R Schneider,M.D.,LLC
• Kevin Wayne Wiesner Jr.
• Dana M Wilson
• Yesshecan, LLC

• Oncology Clinical Nurse Specialist in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Oncology Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.