Susan Imam

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

LM-0000105 Issued in DE

Practice address

Ogletown- Stanton Rd
Newark, DE 19718-0001

Phone

(302) 733-2961

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821212689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SCOTT RD",
            "city": "WARWICK",
            "state": "MD",
            "postal_code": "219121257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OGLETOWN- STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "DE",
            "license": "LM-0000105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily P. Iannucci, PA-C
• Olivia Marie Iaquinto, MSW
• Aquiles Igleisias
• Maelen Ignacio, PHARM.D.
• Ijn Health Systems, LLC
• Heather Ann Immediato, PTA
• Impact Life, Inc (Impact Life Outpatient Services)
• Impact Life, Inc (Impact Life Primary Care)
• Chantel Imran, M.D.
• Jonathan Burhan Imran, MD

• Critical Care Neonatal Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Critical Care Neonatal Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.