Individual provider Active NPI

Susan J. Walsh, CRNA

  • Certified Registered Nurse Anesthetist
  • Allendale, NJ
National Provider Identifier
1942428701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NO07735600 Issued in NJ
Practice address
50 Walnut PL
Allendale, NJ 07401-1912
Phone
(201) 760-6485
Fax
(973) 972-2357
NPI assigned
Apr 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NO07735600 NJ Primary

Addresses

Primary practice location

50 Walnut PL
Allendale, NJ 07401-1912

Mailing address

50 Walnut PL
Allendale, NJ 07401-1912
Phone (201) 760-6485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000658 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698852309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NO07735600NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Feb 1, 2023 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Oct 1, 2024 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Oct 21, 2024 Accepting new patients
University Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jan 28, 2024 Accepting new patients
Jersey Shore Anesthesiology Associates PA Past Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942428701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WALNUT PL",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011912",
            "telephone_number": "201-760-6485",
            "fax_number": "973-972-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WALNUT PL",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011912",
            "telephone_number": "201-760-6485",
            "fax_number": "973-972-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NO07735600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.