Latonia D Suydam, CPRS
Peer Specialist in South Amboy, New Jersey
1780442111- Practice location
- 540 Bordentown Ave Ste 203, South Amboy, NJ 08879-1546
- Phone
- 732-963-2626
- Fax
- —
- Last updated
- March 11, 2024
Latonia D Suydam is a Peer Specialist based in South Amboy, NJ. Latonia D Suydam practices in South Amboy, NJ and has the professional credentials of CPRS. The NPI Number for Latonia D Suydam is 1780442111 and holds a License No. CPRS-50275 (NJ). The current practice location address for Latonia D Suydam is 540 Bordentown Ave Ste 203, South Amboy, NJ 08879-1546 and can be reached out via phone at 732-963-2626.
Provider Profile Details
- NPI Number
- 1780442111
- Provider Name
- Latonia D Suydam
- Credential
- CPRS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 540 Bordentown Ave Ste 203, South Amboy, NJ 08879-1546
- Phone Number
- 732-963-2626
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 11, 2024
- Last Update Date
- March 11, 2024
- Certification Date
- March 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Bordentown Ave Ste 203
South Amboy, NJ 08879-1546 - City
- South Amboy
- State
- New Jersey
- Zip
- 08879-1546
- Phone Number
- 732-963-2626
Provider Business Mailing Address Details
- Address
- 214 Union Ave
Union Beach, NJ 07735-3147 - City
- Union Beach
- State
- NJ
- Zip
- 07735-3147
- Phone Number
- 732-770-8596
License Information
- License Number
- CPRS-50275
- License State
- NJ
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Latonia D Suydam, CPRS?
The NPI number of Latonia D Suydam, CPRS is 1780442111. It was assigned on March 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Latonia D Suydam, CPRS?
Latonia D Suydam, CPRS is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in NJ under license number CPRS-50275.
Where does Latonia D Suydam, CPRS practice?
The practice location is 540 Bordentown Ave Ste 203, South Amboy, NJ 08879-1546. The office can be reached at 732-963-2626 (phone).
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 1780442111 directly on the NPPES registry website.