Edita Surbliene, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01228700 Issued in NJ

Practice address

123 Franklin Corner Rd Ste 106
Lawrenceville, NJ 08648-2526

Phone

(609) 896-2505

NPI assigned

Dec 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  Medicare reassignment Care Compare group NPD
• Clinical Health Care Associates of New Jersey, PC

  • Otolaryngology Physician
  • Hillsborough, NJ
  • NPI 1962977249
  NPD

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

• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton Medical Center

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Philadelphia Post Acute Partners, LLC

  dba Penn Medicine Good Shepherd Rehabilitation

  • Long Term Care Hospital
  • Philadelphia, PA
  • NPI 1427232818

  Long-term care hospital

  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1942960646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD STE 106",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD STE 106",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBLIENE",
        "first_name": "EDITA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01228700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN NURSING LICENSE",
            "identifier": "26NJ01228700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CDS",
            "identifier": "P01187400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence K Straus, PH.D.
• Scott William Strenger, MD
• Sun Wellness LLC
• Lydia Lijuan Sun, M.D.
• Sunrise Behavioral Health Care LLC
• Barbara M Surowiec, M.D.
• Steven Sussman, M.D.
• Madeline Clare Sweeney, APN
• James Szabatura, PTA
• Nicole Judith Szilvasi, APN-BC

• Nurse Practitioner in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.