Active NPI
Susan Mary Egan, APN
- Adult Psychiatric/Mental Health Registered Nurse
- Cedar Knolls, NJ
National Provider Identifier
1922060334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 26NJ00080900
- Practice address
- 100 E Hanover Ave
Cedar Knolls, NJ 07927-2020 - Phone
- (973) 401-2121
- Fax
- (973) 625-7116
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 26NJ00080900 | NJ | Primary |
Addresses
Primary practice location
100 E Hanover Ave
Cedar Knolls, NJ 07927-2020
Mailing address
94 Pleasant Hill Rd
Randolph, NJ 07869-3466
Phone (973) 927-3597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00195000 | Other | NH | CDS# |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00080900 | NJ | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922060334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 PLEASANT HILL RD",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078693466",
"telephone_number": "973-927-3597",
"fax_number": "973-401-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E HANOVER AVE",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272020",
"telephone_number": "973-401-2121",
"fax_number": "973-625-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "SUSAN",
"middle_name": "MARY",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NJ",
"license": "26NJ00080900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS#",
"identifier": "P00195000",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.