| Susan Ezzi, ANP | |
|
1086 Dumont Cir, Voorhees, NJ 08043-3500 | |
| (856) 454-9100 | |
| Not Available |
| Full Name | Susan Ezzi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1086 Dumont Cir, Voorhees, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730547480 | NPI | - | NPPES |
| 26NO12373900 | Other | NJ | NJ BOARD OF NURSING |
| P00686400 | Other | NJ | NJ OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS CDS |
| 26NJ00617200 | Other | NJ | NJ BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00617200 (New Jersey) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00617200 (New Jersey) | Secondary |
| Entity Name | Coastal Comprehensive Healthcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952562936 PECOS PAC ID: 4183783251 Enrollment ID: O20081104000311 |
| Entity Name | Longevity Clinical Ltc Associates Of New Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376114322 PECOS PAC ID: 8820496540 Enrollment ID: O20211012000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Ezzi, ANP 131 Morristown Rd, Basking Ridge, NJ 07920-1654 Ph: (908) 630-9305 | Susan Ezzi, ANP 1086 Dumont Cir, Voorhees, NJ 08043-3500 Ph: (856) 454-9100 |
Ms. Kristi A. Kennedy, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Centennial Blvd Ste M, Voorhees, NJ 08043 Phone: 855-632-2667 | |
James Mcgee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Battery Hill Dr, Voorhees, NJ 08043 Phone: 856-340-9099 | |
Michelle Sheel, MSN, APN, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr, Suite E, Voorhees, NJ 08043 Phone: 856-751-7880 | |
Shauna Freeman, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1233 Haddonfield Berlin Rd Ste 4, Voorhees, NJ 08043 Phone: 800-943-1817 | |
Heather Ann Rozencwaig, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite D285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-947-1747 | |
Meryl Penalver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr Ste E340, Voorhees, NJ 08043 Phone: 856-247-7600 Fax: 856-247-7575 | |
Mrs. Retha Jennifer Randall, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 Laurel Oak Rd, Voorhees, NJ 08043 Phone: 856-435-7502 Fax: 856-627-2183 |