Active NPI
Michael Suhl, M.D., P.a.
- Neurology Physician
- Summit, NJ
National Provider Identifier
1063650752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25809
- Legal business name
- MICHAEL SUHL, M.D., P.A.
- Practice address
- 450 Springfield Avenue
Suite 302
Summit, NJ 07901 - Phone
- (908) 273-8700
- Fax
- (908) 273-1995
- NPI assigned
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Suhl, M.D.
- Title
- President
- Phone
- (908) 273-8700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25809 | NJ | Primary |
| Neurology Physician | 2084N0400X | 90512 | NY |
Addresses
Primary practice location
450 Springfield Avenue
Suite 302
Summit, NJ 07901
Mailing address
450 Springfield Avenue
Suite 302
Summit, NJ 07901
Phone (908) 273-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3096700-01 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233619200000",
"number": "1063650752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SPRINGFIELD AVENUE",
"address_2": "SUITE 302",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-273-8700",
"fax_number": "908-273-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SPRINGFIELD AVENUE",
"address_2": "SUITE 302",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-273-8700",
"fax_number": "908-273-1995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL SUHL, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A",
"authorized_official_last_name": "SUHL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-273-8700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25809",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "90512",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3096700-01",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.