Active NPI
Susan Omar, FNP-C
- Nurse Practitioner
- Woodcliff Lake, NJ
National Provider Identifier
1508377201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00771000
- Practice address
- 62 Broadway Ste 104-105
Woodcliff Lake, NJ 07677-8081 - Phone
- (201) 800-4772
- Fax
- (732) 455-9863
- NPI assigned
- Oct 20, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00771000 | NJ | Primary |
Addresses
Primary practice location
62 Broadway Ste 104-105
Woodcliff Lake, NJ 07677-8081
Mailing address
227 Hamburg Tpke Ste 8
Pompton Lakes, NJ 07442-1847
Phone (201) 492-4987
Other practice location 1
227 Hamburg Tpke Ste 8
Pompton Lakes, NJ 07442
Phone (201) 492-4987
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180116002019 | NJ | Practitioner - Nurse Practitioner | 2365701570 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Wellness Chiropractic PC | Current | Accepting new patients |
Locations
380 N Midland Ave
Saddle Brook, NJ 07663
Phone (201) 880-7077
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": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1508377201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 HAMBURG TPKE STE 8",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421847",
"telephone_number": "201-492-4987",
"fax_number": "201-326-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 BROADWAY STE 104-105",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778081",
"telephone_number": "201-800-4772",
"fax_number": "732-455-9863"
}
],
"practiceLocations": [
{
"address_1": "227 Hamburg Tpke Ste 8",
"address_purpose": "LOCATION",
"city": "Pompton Lakes",
"state": "NJ",
"postal_code": "07442",
"country_code": "US",
"telephone_number": "201-492-4987",
"fax_number": "201-326-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMAR",
"first_name": "SUSAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00771000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.