Active NPI
Mario Szuchman, M.D.
- Pediatrics Physician
- Dover, NJ
National Provider Identifier
1144221573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA41449
- Practice address
- 17 S Warren St
Dover, NJ 07801-4506 - Phone
- (973) 328-9100
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA41449 | NJ | Primary |
Addresses
Primary practice location
17 S Warren St
Dover, NJ 07801-4506
Mailing address
1177 Broad St
Bloomfield, NJ 07003-2951
Phone (973) 893-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41449 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Choice Pediatrics | Past | Accepting new patients | |
| Mario Szuchman, M.D. Pediatrics LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Bloomfield, NJ
- NPI 1407800626
-
- Pediatric Adolescent Medicine Physician
- Bloomfield, NJ
- NPI 1144675463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1144221573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032951",
"telephone_number": "973-893-1177",
"fax_number": "973-893-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 S WARREN ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014506",
"telephone_number": "973-328-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZUCHMAN",
"first_name": "MARIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA41449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.