Active NPI
Reetu Malini Sookraj, APRN, BC
- Family Nurse Practitioner
- Newark, NJ
National Provider Identifier
1912000712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00015200
- Practice address
- 111 Central Ave
Cardiac Cath Lab
Newark, NJ 07102-1909 - Phone
- (973) 877-5153
- Fax
- (973) 877-2904
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00015200 | NJ | Primary |
Addresses
Primary practice location
111 Central Ave
Cardiac Cath Lab
Newark, NJ 07102-1909
Mailing address
286 Laurel Ave
Kearny, NJ 07032-3634
Phone (201) 998-3186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912000712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 LAUREL AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323634",
"telephone_number": "201-998-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"address_2": "CARDIAC CATH LAB",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "973-877-5153",
"fax_number": "973-877-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOKRAJ",
"first_name": "REETU",
"middle_name": "MALINI",
"name_prefix": "Ms.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00015200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- 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.