Individual provider Active NPI

Nisha Suda, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bronx, NY
National Provider Identifier
1114269438
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
293475 Issued in NY
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

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012001622 NY Practitioner - Endocrinology 5193019768 Reassigns benefits to 2 organizations

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
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

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

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Primary Care Partners, LLC Current Accepting new patients
Montefiore Medical Center Endocrinology, Diabetes & Metabolism CurrentSince Aug 22, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Aug 22, 2018 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

  • Direct secure messaging: nsuda847563@nychhc.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.