Jan Anton Trueno Su, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01248400 Issued in NJ

Practice address

8 Henderson CT
Pompton Lakes, NJ 07442-2122

Phone

(862) 228-4324

NPI assigned

Dec 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1780344044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HENDERSON CT",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422122",
            "telephone_number": "862-228-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HENDERSON CT",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422122",
            "telephone_number": "862-228-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JAN ANTON",
        "middle_name": "TRUENO",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01248400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill P Snyder, ATC CERTIFIED ATHLET
• Grigoriy Soybelman, M.D.
• Amy Beth Steinfeld-Klein, MA, LCSW,CASAC
• Marjorie Lewis Steinfeld, PHD
• Jennifer Stratton, LCSW
• Janine Su
• Melissa Tabak, LPC
• Anthony James Testa, M.ED., ATC, CSCS
• Christina Thompson, MSN, ACNPC-AG
• Luisa Marie Tinapay

• Family Nurse Practitioner in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.