Provider Demographics
NPI:1013054436
Name:HESS, SUZANNE M (NP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:HESS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 E NORTHFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4802
Mailing Address - Country:US
Mailing Address - Phone:973-597-0900
Mailing Address - Fax:973-597-0910
Practice Address - Street 1:349 E NORTHFIELD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4802
Practice Address - Country:US
Practice Address - Phone:973-597-0900
Practice Address - Fax:973-597-0910
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN10601300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ034535NT1Medicare PIN
NJS96440Medicare UPIN