Active NPI
Samuel Suede, M.D.
- Cardiovascular Disease Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA05797800
- Practice address
- 25 Rockwood PL
Suite 440
Englewood, NJ 07631-4957 - Phone
- (201) 568-3690
- Fax
- (201) 562-3667
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 5, 2016
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA05797800 | NJ | Primary |
Addresses
Primary practice location
25 Rockwood PL
Suite 440
Englewood, NJ 07631-4957
Mailing address
25 Rockwood PL
Suite 440
Englewood, NJ 07631-4957
Phone (201) 568-3690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5188407 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York Downstate Medical Center, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250
350 Engle St
Englewood, NJ 07631-1808
350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364
695 Anderson Ave
Suite 120
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040
910 Sylvan Ave
Suite 110
Englewood, NJ 07632-3306
Phone (551) 501-8989
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05797800 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| North Jersey Internal Medicine PC | Past | Accepting new patients | |
| HMC Cardiac Diagnostic Service | Cardiovascular Disease | Past | Accepting new patients |
| Englewood Medical Associates, Inc | Past | Accepting new patients | |
| Englewood Medical Associates Inc | Past | Accepting new patients |
Locations
596 Anderson Ave
Ste 208
Cliffside Pk, NJ 07010
Phone (201) 941-0041
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
25 Rockwood Pl
Ste 440
Englewood, NJ 07631
Phone (201) 568-3690
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
1555 Center Ave
Fort Lee, NJ 07024
Phone (201) 510-0200
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Interoperability endpoints
- ssuede236565@direct.englewoodhealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Cardiovascular Disease Physician
- Englewood, NJ
- NPI 1760694343
-
- Specialist
- Englewood, NJ
- NPI 1447392162
-
- Family Medicine Physician
- Englewood, NJ
- NPI 1447389499
-
- Cardiovascular Disease Physician
- Hackensack, NJ
- NPI 1316010085
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1114027885
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1164503116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ROCKWOOD PL",
"address_2": "SUITE 440",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314957",
"telephone_number": "201-568-3690",
"fax_number": "201-562-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROCKWOOD PL",
"address_2": "SUITE 440",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314957",
"telephone_number": "201-568-3690",
"fax_number": "201-562-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUEDE",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05797800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5188407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.