Active NPI
Susan J. Disbrow, RN., MS., CS
- Adult Psychiatric/Mental Health Registered Nurse
- Teaneck, NJ
National Provider Identifier
1427260462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 26NC03567900
- Practice address
- 405 Cedar LN
Suite 6
Teaneck, NJ 07666-1739 - Phone
- (914) 234-7485
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- 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 Psychiatric/Mental Health Registered Nurse | 163WP0809X | 26NC03567900 | NJ | Primary |
Addresses
Primary practice location
405 Cedar LN
Suite 6
Teaneck, NJ 07666-1739
Mailing address
18 Cat Rocks Dr
Bedford, NY 10506-2024
Phone (914) 234-7485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NC03567900 | NJ | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427260462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CAT ROCKS DR",
"city": "BEDFORD",
"state": "NY",
"postal_code": "105062024",
"telephone_number": "914-234-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CEDAR LN",
"address_2": "SUITE 6",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661739",
"telephone_number": "914-234-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISBROW",
"first_name": "SUSAN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "RN., MS., CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NJ",
"license": "26NC03567900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.