Individual provider Active NPI

Suzanne Sennett Endriga, CNM

  • Advanced Practice Midwife
  • Hackettstown, NJ
National Provider Identifier
1396927463
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00044801 Issued in NJ
Practice address
108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174
Phone
(908) 813-8877
Fax
(908) 813-9984
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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 25ME00044801 NJ Primary

Addresses

Primary practice location

108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174

Mailing address

108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174
Phone (908) 813-8877

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
I20151009001631 NJ Practitioner - Certified Nurse Midwife (CNM) 7315255494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

183 High St
Newton, NJ 07860-9601
Phone (973) 383-6244

57 US Hwy 46
Hackettstown, NJ 07840-2695
Phone (908) 598-7980

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25ME00044801NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Oct 15, 2015 Accepting new patients
Psychological Associates of North Jersey LLC Past Accepting new patients

Locations

108 Bilby Rd
Ste 305
Hackettstown, NJ 07840
Phone (908) 813-8877

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

183 High St
Ste 1500
Newton, NJ 07860
Phone (973) 383-6244

Organizations & group practices 2

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 3

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1396927463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BILBY RD",
            "address_2": "SUITE 305",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-813-8877",
            "fax_number": "908-813-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY RD",
            "address_2": "SUITE 305",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-813-8877",
            "fax_number": "908-813-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRIGA",
        "first_name": "SUZANNE",
        "middle_name": "SENNETT",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00044801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.