Active NPI
Tej Amit Sura, MD
- Vascular Surgery Physician
- Edison, NJ
National Provider Identifier
1154902500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA13233700
- Practice address
- 2163 Oak Tree Rd Ste 210
Edison, NJ 08820-1083 - Phone
- (908) 561-9500
- Fax
- (908) 561-7162
- NPI assigned
- Apr 17, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA13233700 | NJ | Primary |
Addresses
Primary practice location
2163 Oak Tree Rd Ste 210
Edison, NJ 08820-1083
Mailing address
2163 Oak Tree Rd Ste 210
Edison, NJ 08820-1083
Phone (908) 561-9500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1154902500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 OAK TREE RD STE 210",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201083",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 OAK TREE RD STE 210",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201083",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURA",
"first_name": "TEJ",
"middle_name": "AMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-17",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA13233700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.