Suresh Pendem, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2000 Cornwall Rd Ste 500a
Monmouth Junction, NJ 08852-2444

Phone

(609) 721-4993

Fax

(609) 900-2983

NPI assigned

Dec 28, 2012

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Star Physical Therapy

  • Physical Therapist
  • Monmouth Junction, NJ
  • NPI 1598447427
  Authorized official Same address or phone

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1326384975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PHEASANT HOLLOW DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362129",
            "telephone_number": "716-903-3150",
            "fax_number": "609-900-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CORNWALL RD STE 500A",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522444",
            "telephone_number": "609-721-4993",
            "fax_number": "609-900-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Pheasant Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085362129",
            "country_code": "US",
            "telephone_number": "716-903-3150",
            "fax_number": "609-900-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDEM",
        "first_name": "SURESH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "031789",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "40QA02161300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pratik Patel, PHARMD.
• Priya Patel
• Rick Patel
• Samir Inhalation Patel
• Paul Lehrer PHD, LLC
• Personal Home Care of New Jersey
• Gogilavaani Pillai, PT
• Brenton Thomas Porter
• Ajinder Prajapati, RN
• Previte Physical Therapy LLC (Previte Performance Physical Therapy)

• Physical Therapist in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.