Susan Omar, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00771000 Issued in NJ

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

Last updated

May 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Wellness Chiropractic PC

  • Physical Therapist
  • Saddle Brook, NJ
  • NPI 1073661070
  Medicare reassignment NPD

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": []
}

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• Nutrition Vitality & Conditioning LLC
• Om Acupuncture
• Ronald B Packard, MSW, LCSW
• Danielle Panichella, DDS
• Dwight David Panozzo, LCSW
• Paramus Healthcare Center, LLC
• Mitul Suresh Patel, M.D.

• Nurse Practitioner in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Nurse Practitioner in New Jersey

• 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.

Verify at the official NPI Registry.