MS. SUSAN LA BAGNARA A.P.N.
NPI 1467756619
Clinical Nurse Specialist - Pediatrics in Newark, NJ

Q: What is Susan La Bagnara's NPI number?

The NPI number for Susan La Bagnara is 1467756619. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Q: What is Susan La Bagnara's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

Q: When was this NPI record last updated?

The NPPES record for Susan La Bagnara was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2011PECOS Enrolled

150 BERGEN ST, F342, NEWARK, NJ 07103(973) 972-0658(973) 972-1340 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Susan La Bagnara A.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN LA BAGNARA A.P.N. (NPI 1467756619) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (26NC05172800) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467756619

Entity TypeIndividualFemale

Primary Taxonomy364SP0200X

Provider Legal NameMS. SUSAN LA BAGNARACredential: A.P.N.

Location Address150 BERGEN ST, F342Newark, NJ 07103-2496

Mailing Address150 Bergen St, F342Newark, NJ 07103-2496 · (973) 972-0658 · Fax (973) 972-1340

Phone(973) 972-0658

Fax(973) 972-1340

Sole ProprietorYes

Enumeration DateJanuary 3, 2011

✔ NPI 1467756619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0200X

License✔ Licensed in NJ · 26NC05172800

150 BERGEN ST, Newark, NJ 07103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan La Bagnara A.p.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARIEL LIPPA, LPC, LCADC, NCC.

Counselor (Professional)