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SUSAN L MAIOCCO APN
NPI 1629028568
Nurse Practitioner - Adult Health in Newark, NJ

Active since May 11, 2006
111 CENTRAL AVE, SAINT MICHAEL'S MEDICAL CENTER PRIMARYCARECLINIC1ST FL., NEWARK, NJ 07102(973) 877-5080(973) 877-2718 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan L Maiocco Apn NPPES

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

SUSAN L MAIOCCO APN (NPI 1629028568) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ00070900) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629028568
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN L MAIOCCOCredential: APN
Location Address111 CENTRAL AVE, SAINT MICHAEL'S MEDICAL CENTER PRIMARYCARECLINIC1ST FL.Newark, NJ 07102-1909
Mailing Address111 Central Ave, Saint Michael's Medical Center Primarycareclinic1st Fl.Newark, NJ 07102-1909 · (973) 877-5080 · Fax (973) 877-2718
Phone(973) 877-5080
Fax(973) 877-2718
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 8, 2014
✔ NPI 1629028568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00070900
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NO05261700 (NJ)
111 CENTRAL AVE, Newark, NJ 07102
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN096031NJ

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.

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Maiocco's NPI number?

The NPI number for Susan Maiocco is 1629028568. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Susan Maiocco located?

Susan Maiocco practices at 111 Central Ave Saint Michael's Medical Center Primarycareclinic1st Fl., Newark, NJ 07102. The listed phone number is (973) 877-5080.

What is Susan Maiocco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Susan Maiocco was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.