NPIMap

Organization Active NPI

David B. Sutter, M.D., P.a.

  • Internal Medicine Physician
  • Franklin Lakes, NJ
National Provider Identifier
1164618963
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03126800 Issued in NJ
Legal business name
DAVID B. SUTTER, M.D., P.A.
Practice address
638 Summit Ave
Franklin Lakes, NJ 07417-1734
Phone
(201) 848-1731
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. David Brand Sutter, M.D.NPI 1487639191
Title
President
Phone
(201) 848-1731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA03126800 NJ Primary

Addresses

Primary practice location

638 Summit Ave
Franklin Lakes, NJ 07417-1734

Mailing address

638 Summit Ave
Franklin Lakes, NJ 07417-1734
Phone (201) 848-1731

Other identifiers 3

IdentifierTypeStateIssuer
25MA03126800OtherNJNJ LICENSE
7271107MedicaidNJ
31D0110140OtherCLIA NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1164618963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171734",
            "telephone_number": "201-848-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171734",
            "telephone_number": "201-848-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SUTTER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-848-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03126800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA03126800",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7271107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "31D0110140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.