Individual provider Active NPI

Laura Stephens-Sutton, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Piscataway, NJ
National Provider Identifier
1942257704
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NC06153600 Issued in NJ
Practice address
671 Hoes LN W
Piscataway, NJ 08854-8021
Phone
(732) 235-3289
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NC06153600 NJ Primary

Addresses

Primary practice location

671 Hoes LN W
Piscataway, NJ 08854-8021

Mailing address

76 Jefferson Ave
Cresskill, NJ 07626-2523

Other identifiers 1

IdentifierTypeStateIssuer
4144007MedicaidNJ

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000322 NJ Practitioner - Nurse Practitioner 2264452135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Health System, IncGroup PAC ID 8325033178, 12 clinicians

Practice addresses (Care Compare)

2 Park Ave
Dumont, NJ 07628-3004
Phone (201) 385-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Health System, Inc. CurrentSince Jun 12, 2017 Accepting new patients
Vantage Health System, Inc CurrentSince Jun 12, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Aug 28, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

2 Park Ave
Dumont, NJ 07628
Phone (201) 385-4400

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1942257704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 JEFFERSON AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021",
            "telephone_number": "732-235-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS-SUTTON",
        "first_name": "LAURA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC06153600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4144007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.