Active NPI
Nisha Suda, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 293475
- Practice address
- 1800 Morris Park Ave (2ND Floor)
Bronx, NY 10461 - Phone
- (844) 556-6683
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA11553900 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 293475 | NY | Primary |
Addresses
Primary practice location
1800 Morris Park Ave (2ND Floor)
Bronx, NY 10461
Mailing address
1800 Morris Park Ave (2ND Floor)
Bronx, NY 10461
Phone (844) 556-6683
Other practice location 1
20 York St
YNHH po vox 208020
New Haven, CT 06510-3220
Phone (203) 785-2479
Other practice location 2
170 Kinnelon Rd Rm 28
Kinnelon, NJ 07405-2351
Phone (973) 838-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Rutgers New Jersey Medical School, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Primary Care Partners, LLC | Current | Accepting new patients | |
| Montefiore Medical Center | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
170 Kinnelon Rd
Rm 28
Kinnelon, NJ 07405
Phone (973) 838-1717
475 South St
Morristown, NJ 07960
Phone (973) 660-3166
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
111 E 210th St
Bronx, NY 10467
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- nsuda847563@nychhc.direct-ci.com
- nisuda@montefioredirect.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Endocrinology, Diabetes & Metabolism
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1083900526
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1114269438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MORRIS PARK AVE (2ND FLOOR)",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "844-556-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MORRIS PARK AVE (2ND FLOOR)",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "844-556-6683"
}
],
"practiceLocations": [
{
"address_1": "20 York St",
"address_2": "YNHH po vox 208020",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-785-2479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 Kinnelon Rd Rm 28",
"address_purpose": "LOCATION",
"city": "Kinnelon",
"state": "NJ",
"postal_code": "074052351",
"country_code": "US",
"telephone_number": "973-838-1717",
"fax_number": "973-838-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDA",
"first_name": "NISHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA11553900",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "293475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.