Individual provider Active NPI

Svitlana Chursanova, NP

  • Primary Care Nurse Practitioner
  • Millburn, NJ
National Provider Identifier
1538707682
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00985100 Issued in NJ
Practice address
41 Short Hills Cir Apt 2B
Millburn, NJ 07041-1237
Phone
(973) 704-5713
NPI assigned
Dec 18, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00985100 NJ Primary

Addresses

Primary practice location

41 Short Hills Cir Apt 2B
Millburn, NJ 07041-1237

Mailing address

41 Short Hills Cir Apt 2B
Millburn, NJ 07041-1237
Phone (973) 704-5713

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
I20200324000085 NJ Practitioner - Nurse Practitioner 5294163325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

1000 Atrium Way
Suite 103
Mount Laurel, NJ 08054-3903
Phone (866) 607-2308

200 Metroplex Dr
Suite 410
Edison, NJ 08817-2600
Phone (866) 607-2308

34 Mountain Blvd
Suite 203
Warren, NJ 07059-2640
Phone (866) 607-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC CurrentSince Feb 24, 2020 Accepting new patients
MVC Az Past Accepting new patients
MVC CT Past Accepting new patients
Pottstown Clinic Company LLC Past Accepting new patients
MVC PA PLLC Past Accepting new patients

Locations

400 Broadacres Dr
Ste 140
Bloomfield, NJ 07003

525 Jack Martin Blvd
Ste 200
Brick, NJ 08724
Phone (732) 836-9669

200 Metroplex Dr
Ste 410
Edison, NJ 08817

83 Hanover Rd
Ste 230
Florham Park, NJ 07932
Phone (866) 630-2308

385 Prospect Ave
Ste 316
Hackensack, NJ 07601
Phone (248) 847-4925

26 Journal Sq
Ste 205
Jersey City, NJ 07306

475 County Road 520
Ste 104
Marlboro, NJ 07746

1000 Atrium Way
Ste 103
Mount Laurel, NJ 08054
Phone (856) 235-9995

811 Executive Dr
#813
Princeton, NJ 08540

811 Executive Dr
Ste 316
Princeton, NJ 08540

811 Executive Dr
Ste 813
Princeton, NJ 08540

855 Lehigh Ave
Ste 201
Union, NJ 07083

34 Mountain Blvd
Ste A203
Warren, NJ 07059

1680 Route 23
Ste 330
Wayne, NJ 07470

1680 Route 23
Ste 350
Wayne, NJ 07470
Phone (973) 521-9700

34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1538707682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SHORT HILLS CIR APT 2B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411237",
            "telephone_number": "973-704-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SHORT HILLS CIR APT 2B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411237",
            "telephone_number": "973-704-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURSANOVA",
        "first_name": "SVITLANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00985100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.