Active NPIIndividual provider

Ms. Susan Fedoruk, APN

Nurse Practitioner in Brick, New Jersey

NPI Number1336163716
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
732-836-4532
Last updated
October 23, 2017

Susan Fedoruk is a Nurse Practitioner based in Brick, NJ. Susan Fedoruk practices in Brick, NJ and has the professional credentials of APN. The NPI Number for Susan Fedoruk is 1336163716 and holds a License No. 26NO07839100 (NJ). The current practice location address for Susan Fedoruk is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-836-4504 and via fax at 732-836-4532.

Provider Profile Details

NPI Number
1336163716
Provider Name
Susan Fedoruk
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
732-836-4504
Fax Number
732-836-4532
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2006
Last Update Date
October 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
732-836-4504
Fax Number
732-836-4532
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
State
NJ
Zip
08724-7732
Phone Number
732-836-4504
Fax Number
732-836-4532

License Information

License Number
26NO07839100
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan Fedoruk, APN?

The NPI number of Ms. Susan Fedoruk, APN is 1336163716. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan Fedoruk, APN?

Ms. Susan Fedoruk, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NO07839100.

Where does Ms. Susan Fedoruk, APN practice?

The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-836-4504 (phone) or 732-836-4532 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336163716 directly on the NPPES registry website.

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