Individual provider Active NPI

Joyce Usanee Lertpattanakool, APN

  • Adult Health Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1457646846
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00334800 Issued in NJ
Practice address
9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664
Phone
(201) 566-7191
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 26NJ00334800 NJ Primary

Addresses

Primary practice location

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664

Mailing address

153 Stoneridge Rd
New Providence, NJ 07974-2622
Phone (201) 566-7191

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000044 NJ Practitioner - Nurse Practitioner 9234308420 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ritu Suri MD, LLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

245 Engle St
Ste 1A
Englewood, NJ 07631
Phone (201) 569-5330

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

Organizations & group practices 3

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1457646846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STONERIDGE RD",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742622",
            "telephone_number": "201-566-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "201-566-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTPATTANAKOOL",
        "first_name": "JOYCE",
        "middle_name": "USANEE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00334800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.