Active NPI
Susan Coulter, MD
- Pediatrics Physician
- Camden, NJ
National Provider Identifier
1437188539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05937500
- Practice address
- 817 Federal Street
Suite 300
Camden, NJ 08103 - Phone
- (856) 541-5933
- Fax
- (856) 541-3340
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05937500 | NJ | Primary |
Addresses
Primary practice location
817 Federal Street
Suite 300
Camden, NJ 08103
Mailing address
817 Federal Street
Camden, NJ 08103
Phone (856) 541-5933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6069509 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171128002805 | NH | Order and Referring Only - Pediatric Medicine | 8820077720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1437188539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 FEDERAL STREET",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-541-5933",
"fax_number": "856-541-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 FEDERAL STREET",
"address_2": "SUITE 300",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-541-5933",
"fax_number": "856-541-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05937500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6069509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.