Active NPI
Svitlana Chursanova, NP
- Primary Care Nurse Practitioner
- Millburn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00985100
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Medical Services Group, LLC | Current | 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.
-
dba MetroVein Centers
- Surgery Physician
- Florham Park, NJ
- NPI 1962828277
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.