Susan J Blumenfeld, RNCPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN08688200 Issued in NJ

Practice address

250 Haddonfield Berlin Rd
Suite 105
Gibbsboro, NJ 08026-1228

Phone

(856) 346-0005

Fax

(856) 784-1799

NPI assigned

Sep 11, 2008

Last updated

Mar 21, 2013By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sblumenfeld47906@direct.nemours.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooper Pediatric Specialists, PC

  • Pediatrics Physician
  • Camden, NJ
  • NPI 1306867585
  Medicare reassignment NPD
• Nemours New Jersey Physician Practice, P.C.

  • Pediatrics Physician
  • Deptford, NJ
  • NPI 1265874713
  Medicare reassignment NPD
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1871742080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HADDONFIELD BERLIN RD",
            "address_2": "SUITE 105",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261228",
            "telephone_number": "856-346-0005",
            "fax_number": "856-784-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HADDONFIELD BERLIN RD",
            "address_2": "SUITE 105",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261228",
            "telephone_number": "856-346-0005",
            "fax_number": "856-784-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENFELD",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RNCPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN08688200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carli Barolin, MT-BC
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Bloom Therapy Works
• Ray A. Blume, M.A.
• Boxley Speech Therapy
• Ayanna Boxley, CCC-SLP
• Joslynn Taylor Brown, RN
• Adam Daniel Buchler, RPH
• Angela Acello Buglak, RN

• Pediatric Nurse Practitioner in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.