Individual provider Active NPI

Fadwa Sumrein, D.O

  • Endocrinology, Diabetes & Metabolism Physician
  • Clifton, NJ
National Provider Identifier
1043637192
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MB10591700 Issued in NJ
Practice address
2 Brighton Rd Ste 400
Clifton, NJ 07012
Phone
(862) 297-9696
Fax
(862) 297-9695
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MB10591700 NJ Primary

Addresses

Primary practice location

2 Brighton Rd Ste 400
Clifton, NJ 07012

Mailing address

2 Brighton Rd Ste 400
Clifton, NJ 07012-1670
Phone (862) 297-9696

Other practice location 1

2 Brighton Rd Ste 400
Clifton, NJ 07012
Phone (862) 297-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906000104 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 0648509398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

2 Brighton Rd
Suite 400
Clifton, NJ 07012-1670
Phone (862) 249-4904

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Sep 15, 2019 Accepting new patients
Cheng-an Mao, MD, LLC PastSince Sep 15, 2019 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. PastSince Feb 1, 2016 Accepting new patients

Locations

2 Brighton Rd
Ste 400
Clifton, NJ 07012
Phone (862) 249-4904

4 Brighton Rd
Ste 401
Clifton, NJ 07012
Phone (973) 777-7727

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-02 Broadway
Ste 304
Fair Lawn, NJ 07410
Phone (551) 246-3193

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Interoperability endpoints

  • Direct secure messaging: fsumrein279895@direct.englewoodhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1043637192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON RD STE 400",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121670",
            "telephone_number": "862-297-9696",
            "fax_number": "862-297-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON RD STE 400",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07012",
            "telephone_number": "862-297-9696",
            "fax_number": "862-297-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Brighton Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "07012",
            "country_code": "US",
            "telephone_number": "862-297-9696",
            "fax_number": "862-297-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMREIN",
        "first_name": "FADWA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MB10591700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.