MRS. SUSAN M RAIA


Address: 20 Washington Pl, Newark, NJ 07102-3127
Phone: 9736453042

MRS. SUSAN M RAIA (NPI# 1689606147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689606147
Entity Type Individual
Full Name MRS. SUSAN M RAIA
Credential RN,APN,C
Practice Address 20 Washington Pl
Newark
NJ 07102-3127
Mailing Address 40 Hunter Rd S
North Haledon
NJ 07508-3300
Practice Telephone 9736453042
Practice Fax Number 9736224813
Mailing Telephone 9736369189
Enumeration Date 2006-07-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NN04882200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 20 WASHINGTON PL
City NEWARK
State NJ
Zip Code 07102-3127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053776385 East Orange Vamc Clinic/Center 20 Washington Pl, Newark, NJ 07102-3127 2015-12-31
1679709588 Rachel Brandt-greenfeld Psychologist 20 Washington Pl, 3rd Floor-ndtc, Newark, NJ 07102-3127 2009-06-05
1326166802 Phil Whang Psychiatry & Neurology 20 Washington Pl, 3rd Floor Va Clinic, Newark, NJ 07102-3127 2007-03-26

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1851884456 Dionne Hutson Hendy Nurse Practitioner 52-54 Richelieu Ter, Newark, NJ 07106-1648 2018-06-08
1922472620 Laura Kretz Mayover Nurse Practitioner 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 2015-11-18
1710312848 Saino Mathew Nurse Practitioner 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 2013-09-09
1871886549 Debora Gildin Nurse Practitioner Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 2011-05-27
1730486754 Patricia Marie Wolf Nurse Practitioner 1818 Preston Pl, Newark, OH 43055-9328 2011-02-28
1518192640 Michaelene M Baker Urban Nurse Practitioner Building B 86, Omega Drive, Newark, DE 19713-6004 2009-05-19
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Competitor

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City NEWARK
Zip Code 07102

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Dataset Information

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.

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