Ivander Susanto, BSN, RN, MSN, FNP
Registered Nurse in Hasbrouck Heights, New Jersey
1932007341- Practice location
- 128 Burr Pl, Hasbrouck Heights, NJ 07604-2525
- Phone
- 201-755-4018
- Fax
- —
- Last updated
- October 27, 2026
Ivander Susanto is a Registered Nurse based in Hasbrouck Heights, NJ. Ivander Susanto practices in Hasbrouck Heights, NJ and has the professional credentials of BSN, RN, MSN, FNP. The NPI Number for Ivander Susanto is 1932007341 and holds a License No. 804783 (NY). The current practice location address for Ivander Susanto is 128 Burr Pl, Hasbrouck Heights, NJ 07604-2525 and can be reached out via phone at 201-755-4018.
Provider Profile Details
- NPI Number
- 1932007341
- Provider Name
- Ivander Susanto
- Credential
- BSN, RN, MSN, FNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 128 Burr Pl, Hasbrouck Heights, NJ 07604-2525
- Phone Number
- 201-755-4018
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 27, 2026
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 128 Burr Pl
Hasbrouck Heights, NJ 07604-2525 - State
- New Jersey
- Zip
- 07604-2525
- Phone Number
- 201-755-4018
Provider Business Mailing Address Details
- Address
- 128 Burr Pl
Hasbrouck Heights, NJ 07604-2525 - City
- Hasbrouck Heights
- State
- NJ
- Zip
- 07604-2525
License Information
- License Number (1)
- 804783
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NR21950300
- License State (2)
- NJ
- Taxonomy (2)
- Registered Nurse · 163W00000X · 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 Ivander Susanto, BSN, RN, MSN, FNP?
The NPI number of Ivander Susanto, BSN, RN, MSN, FNP is 1932007341. It was assigned on October 27, 2026 and is currently active in the NPPES registry.
What is the specialty of Ivander Susanto, BSN, RN, MSN, FNP?
Ivander Susanto, BSN, RN, MSN, FNP is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 804783.
Where does Ivander Susanto, BSN, RN, MSN, FNP practice?
The practice location is 128 Burr Pl, Hasbrouck Heights, NJ 07604-2525. The office can be reached at 201-755-4018 (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 1932007341 directly on the NPPES registry website.