Active NPI
Hasmukh Sutaria, M.D
- Neurology Physician
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA047626
- Practice address
- 40, Union Ave
Suite 206
Irvington, NJ 07111 - Phone
- (973) 373-1196
- Fax
- (973) 373-1197
- NPI assigned
- Apr 22, 2006
- Last updated
- Apr 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 47626 | NJ | |
| Neurology Physician | 2084N0400X | MA047626 | NJ | Primary |
Addresses
Primary practice location
40, Union Ave
Suite 206
Irvington, NJ 07111
Mailing address
40, Union Ave
Suite 206
Irvington, NJ 07111
Phone (973) 373-1196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5467004 | Medicaid | NJ |
Other names 1
- Hasmukh Sutaria
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
- Neurology
- Education
- Other, 1972
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Central Ave
East Orange, NJ 07018-2819
Phone (908) 769-4735
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47626 | NJ | MD | Neurology Physician |
| MA047626 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edison Neurology LLC | Current | Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
Interoperability endpoints
- hsutaria260241@epicdirect.rwjbh.org
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- East Orange, NJ
- NPI 1497466858
-
- Neurology Physician
- Irvington, NJ
- NPI 1568750263
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1366408056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40, UNION AVE",
"address_2": "SUITE 206",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-373-1196",
"fax_number": "973-373-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40, UNION AVE",
"address_2": "SUITE 206",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-373-1196",
"fax_number": "973-373-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTARIA",
"first_name": "HASMUKH",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "47626",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA047626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5467004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HASMUKH",
"last_name": "SUTARIA",
"credential": "MD PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.