Individual provider Active NPI

Susan Sarkos, APN-C, CRNFA

  • Adult Health Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1396815213
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08868500 Issued in NJ
Practice address
7 East Dr
Linwood, NJ 08221-2214
Phone
(973) 957-0548
Fax
(866) 395-0888
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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 26NN08868500 NJ Primary

Addresses

Primary practice location

7 East Dr
Linwood, NJ 08221-2214

Mailing address

PO Box 434
Linwood, NJ 08221-0534
Phone (973) 957-0548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000272 NJ Practitioner - Nurse Practitioner 4981517745

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore First Assistant Surgical Services LLC Adult Health CurrentSince Apr 23, 2009 Accepting new patients

Locations

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1396815213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082210534",
            "telephone_number": "973-957-0548",
            "fax_number": "866-395-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EAST DR",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212214",
            "telephone_number": "973-957-0548",
            "fax_number": "866-395-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKOS",
        "first_name": "SUSAN",
        "credential": "APN-C, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08868500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.