Provider Demographics
NPI:1043652407
Name:BEGIC, SUSAN (NP-C)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:BEGIC
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:RYFA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 POST RD
Mailing Address - Street 2:VALLEY MEDICAL GROUP CAREWORKS
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1614
Mailing Address - Country:US
Mailing Address - Phone:201-651-9635
Mailing Address - Fax:
Practice Address - Street 1:383 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1445
Practice Address - Country:US
Practice Address - Phone:973-887-0200
Practice Address - Fax:973-887-4965
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13947800163W00000X
NJ26NJ00450200363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner