Individual provider Active NPI

Susan Anne Rivas, RN, APN

  • Family Nurse Practitioner
  • Howell, NJ
National Provider Identifier
1801928510
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ000048 Issued in NJ
Practice address
4013 Route 9 N
Howell, NJ 07731-4021
Phone
(732) 905-5255
Fax
(732) 905-5266
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR102449 NJ
Family Nurse Practitioner 363LF0000X 26NJ000048 NJ Primary

Addresses

Primary practice location

4013 Route 9 N
Howell, NJ 07731-4021

Mailing address

22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
Phone (609) 272-0655

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000470 NJ Practitioner - Nurse Practitioner 6002869179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR102449NJMDRegistered Nurse
26NJ000048NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor'S Office of West Caldwell LLC CurrentSince Sep 29, 2022 Accepting new patients
Ocean County Family Care, P.a. Current Accepting new patients
Doctors Office of Brick CurrentSince Sep 29, 2022 Accepting new patients
Somc Medical Group PC CurrentSince Sep 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Sep 29, 2022 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

400 New Hampshire Ave
Lakewood, NJ 08701
Phone (732) 901-6400

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1801928510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "2ND FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "609-272-0655",
            "fax_number": "609-272-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314021",
            "telephone_number": "732-905-5255",
            "fax_number": "732-905-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR102449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ000048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.