Individual provider Active NPI

Susan Kadlec

  • Advanced Practice Midwife
  • Plainfield, NJ
National Provider Identifier
1861403578
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00031900 Issued in NJ
Practice address
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone
(908) 753-6401
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00031900 NJ Primary

Addresses

Primary practice location

1700 Myrtle Ave
Plainfield, NJ 07063-1000

Mailing address

1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone (908) 753-6401

Other identifiers 2

IdentifierTypeStateIssuer
25ME00031900OtherNJCNM LIC
25ME00031901OtherNJCNM W/PRESCRIPTIVE AUTH

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130913000015 NJ Practitioner - Certified Nurse Midwife (CNM) 0143464164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women's Health Group, LLC CurrentSince Apr 15, 2017 Accepting new patients
Regional Womens Health Group LLC CurrentSince Apr 15, 2017 Accepting new patients

Locations

15 James St
Florham Park, NJ 07932
Phone (973) 377-6868

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

616 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 226-9183

Interoperability endpoints

  • Direct secure messaging: susan.kadlec.p1@direct.nhscnj.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1861403578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLEC",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00031900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LIC",
            "identifier": "25ME00031900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM W/PRESCRIPTIVE AUTH",
            "identifier": "25ME00031901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.