SUSAN A ANGELICOLA (NPI# 1265593933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265593933 |
| Entity Type | Individual |
| Full Name | SUSAN A ANGELICOLA |
| Credential | MSN, RNC |
| Practice Address |
890 Mountain Ave New Providence NJ 07974-1218 |
| Mailing Address |
66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 |
| Practice Telephone | 9082778799 |
| Practice Fax Number | 9086082376 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
26NN11336200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0052027 | 05 |
| Street Address |
890 MOUNTAIN AVE |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867268 | Joseph A Barresi | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2005-08-03 |
| 1447637087 | Melissa Gagescu | Social Worker | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2015-05-04 |
| 1194117127 | Teresa V Brown | Internal Medicine | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2015-02-27 |
| 1710307483 | Jamieson Hart Greenwald | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-22 |
| 1538588371 | Matthew Brian Wasser | Psychiatry & Neurology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-09 |
| 1285052662 | Marla Guzman | Pediatrics | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-02 |
| 1275958431 | April Bickoff | Psychologist | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-02-25 |
| 1598194698 | Brooke Laster | Social Worker | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2013-11-08 |
| 1952643355 | Andrea Gibbons Hubschmann | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2013-03-23 |
| 1639466634 | Ankur Modi | Internal Medicine | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2011-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| Find all providers in zip 07974 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316725 | Lynda Nolan | Nurse Practitioner | 24 Dogwood Dr, Whitehouse Station, NJ 08889-3374 | 2020-05-01 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1326358862 | Edith T Meier | Nurse Practitioner | 80 Eisenhower Drive, Suite 200, Paramus, NJ 07652 | 2010-10-18 |
| 1114231578 | Susan Righter Grimes | Nurse Practitioner | 7g Heritage Dr, Chatham, NJ 07928-2966 | 2010-07-27 |
| 1285897215 | Melissa E Sorey | Nurse Practitioner | 1805 Route 206 # 111213, Southampton, NJ 08088-3558 | 2008-07-09 |
| 1033302757 | Deborah Lee Saltmarsh | Nurse Practitioner | 224 Ocean St, Beach Haven, NJ 08008-1628 | 2007-08-27 |
| 1801096607 | Jill Elizabeth Chisholm | Nurse Practitioner | 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 | 2007-07-19 |
| 1982629432 | Terri Fuller | Nurse Practitioner | 694 Rt 15 S. Plaza, Suite 105, Lake Hopatcong, NJ 07849 | 2006-07-13 |
| 1326013434 | Mary Yori | Nurse Practitioner | 399 Liberty Ave, Jersey City, NJ 07307-4101 | 2006-02-22 |
| 1023554003 | Monique Erika Schneider | Nurse Practitioner | 222 Oak Ave, Third Floor, Toms River, NJ 08753-3348 | 2017-01-13 |
| Find all providers with the same taxonomy | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.