Susan Ann Becker, APN C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00092700 Issued in NJ

Practice address

90 Kymer Rd
Branchville, NJ 07826

Phone

(973) 386-3181

NPI assigned

Dec 12, 2006

Last updated

Mar 7, 2023By 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 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Susan Ann Frederick Former name

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Group, LLCGroup PAC ID 8628309382, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Primary Care Group LLC

  • Family Medicine Physician
  • Clark, NJ
  • NPI 1609421841
  Medicare reassignment Care Compare group NPD
• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526

  Nurse Practitioner

  Medicare reassignment NPD
• Edison-Clark Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1568522993
  NPD
• Primary Care Partners, LLC

  dba Scaduto & Renz MDs- Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1003196858
  NPD
• Primary Care Partners, LLC

  dba Internal Medicine of Vernon-Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD
• NP Associates PA

  • Skilled Nursing Facility
  • Parsippany, NJ
  • NPI 1679736912
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649330135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 KYMER RD",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "07826",
            "telephone_number": "973-386-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00092700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26N011489900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "P00213700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FREDERICK",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• A Z Medical Systems Inc (Family Drug Shops)
• Advocates for Empowered Futures
• All About Emotions, LLC
• Ayers Physical Therapy, LLC
• Christopher Bove, MS, LAT, ATC
• Branchville Family Chiropractic, LLC
• Brett's Place
• Capitol Care, Inc
• Capitol Care, Inc

• Nurse Practitioner in Branchville, NJ
• Providers in Branchville, 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 Mar 7, 2023; 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.

Verify at the official NPI Registry.