SUSAN MCCOOG NPI 1871252882

NPI Information

NPI: 1871252882
Provider Name: SUSAN MCCOOG
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10 SOMERDALE SQUARE
1200 SOUTH WHITE HORSE PIKE
SOMERDALE, NJ
ZIP 08083
Phone: (855) 740-1921
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Susan Mccoog is an addiction (substance use disorder) registered nurse in Somerdale, NJ. Susan Mccoog NPI is 1871252882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 SOMERDALE SQUARE
1200 SOUTH WHITE HORSE PIKE
SOMERDALE, NJ
ZIP 08083-345
Phone: (855) 740-1921

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	26NR08984200	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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