Susan L Maiocco, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00070900 Issued in NJ

Practice address

111 Central Ave
Saint Michael's Medical Center Primarycareclinic1St FL.
Newark, NJ 07102-1909

Phone

(973) 877-5080

Fax

(973) 877-2718

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Internet Medical Group PC

  • Internal Medicine Physician
  • Nutley, NJ
  • NPI 1720044555
  NPD (past)
• NP Care of NJ, LLC

  • Nurse Practitioner
  • Brick, NJ
  • NPI 1245289842
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1629028568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "SAINT MICHAEL'S MEDICAL CENTER PRIMARYCARECLINIC1ST FL.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5080",
            "fax_number": "973-877-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "SAINT MICHAEL'S MEDICAL CENTER PRIMARYCARECLINIC1ST FL.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5080",
            "fax_number": "973-877-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOCCO",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO05261700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00070900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haseeb Mahmood, DMD
• Rabia Mahmood, DO
• Sufian Mahmoud
• Gaylene Doris Maichuk, APN
• Main Surgical Co
• Marilyn Isioma Majaro
• Jennah Majeed-Bembry
• Claire A Majisu, MD
• Janaki Jitendrabhai Makadia, M.D.
• David Makanga

• Adult Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.