Active NPI
Lynn Sutley-Hartmann, M.D.
- Pediatrics Physician
- Hillsborough, NJ
National Provider Identifier
1912947706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05004400
- Practice address
- 1C New Amwell Rd
Hillsborough, NJ 08844-5006 - Phone
- (908) 725-5530
- Fax
- (908) 253-6559
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05004400 | NJ | Primary |
Addresses
Primary practice location
1C New Amwell Rd
Hillsborough, NJ 08844-5006
Mailing address
3322 Route 22
Building 10, Suite 1002
Branchburg, NJ 08876-3476
Phone (908) 725-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0962601 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05004400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Pediatric Group, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1912947706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 ROUTE 22",
"address_2": "BUILDING 10, SUITE 1002",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088763476",
"telephone_number": "908-725-5530",
"fax_number": "908-253-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1C NEW AMWELL RD",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088445006",
"telephone_number": "908-725-5530",
"fax_number": "908-253-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTLEY-HARTMANN",
"first_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05004400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0962601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.