Individual provider Active NPI

Raymond Edwin Suarez, M.D.

  • Psychiatry Physician
  • Laconia, NH
National Provider Identifier
1255538245
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16242 Issued in NH
Practice address
635 Main St Ste 303
Laconia, NH 03246-3415
Phone
(603) 409-0735
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 244935 NY
Psychiatry Physician 2084P0800X 16242 NH Primary

Addresses

Primary practice location

635 Main St Ste 303
Laconia, NH 03246-3415

Mailing address

635 Main St Ste 303
Laconia, NH 03246-3415
Phone (603) 409-0735

Other practice location 1

211 J.B. Wise Plaza
Watertown, NY 13601-1360
Phone (315) 782-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130820000021 NH Practitioner - Psychiatry 9436334786 Reassigns benefits to 2 organizations
I20210312000485 NY Practitioner - Psychiatry 9436334786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 880-3408

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16242NHMDPsychiatry Physician
244935NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Jefferson County CurrentSince Jan 4, 2021 Accepting new patients
Granite State Geriatrics PLLC CurrentSince Oct 4, 2020 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 11, 2021 Accepting new patients
Knapp Street Psychiatry, PC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Che Senior Psychological Services, PC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 11, 2021 Accepting new patients
Lrghealthcare CurrentSince Jun 22, 2015 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Slp Evaluation
Gilford, NH 03249
Phone (603) 737-6755

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

635 Main St
Ste 303
Laconia, NH 03246
Phone (603) 409-0735

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430

Interoperability endpoints

  • Direct secure messaging: rsuarez1156156@direct.bsmhealth.org

Organizations & group practices 8

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 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1255538245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAIN ST STE 303",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463415",
            "telephone_number": "603-409-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MAIN ST STE 303",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463415",
            "telephone_number": "603-409-0735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 J.B. Wise Plaza",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136011360",
            "country_code": "US",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "RAYMOND",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "16242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.