Active NPI
Susan D Marai, APRN
- Pediatric Nurse Practitioner
- Torrington, CT
National Provider Identifier
1689005779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 005630
- Practice address
- 20 Felicity LN
Torrington, CT 06790-6101 - Phone
- (860) 489-4144
- NPI assigned
- Nov 27, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5630 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 005630 | CT | Primary |
Addresses
Primary practice location
20 Felicity LN
Torrington, CT 06790-6101
Mailing address
20 Felicity LN
Torrington, CT 06790-6101
Phone (860) 489-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5630 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1689005779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FELICITY LN",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906101",
"telephone_number": "860-489-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FELICITY LN",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906101",
"telephone_number": "860-489-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAI",
"first_name": "SUSAN",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-27",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "5630",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "005630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.