Purushotham N Surapaneni, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA65862 Issued in NJ

Practice address

27 S Franklin Tpke
Ramsey, NJ 07446-2550

Phone

(201) 818-0960

Fax

(201) 825-9537

NPI assigned

May 8, 2006

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
• Ennoble Care Hospice, Hackettstown, NJ, CCN 311585
• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Family of Caring Healthcare at Ridgewood Nursing home, Ridgewood, NJ, CCN 315434
• Ridgewood Center Nursing home, Ridgewood, NJ, CCN 315158

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 330 Franklin Turnpike Operations LLC

  • Skilled Nursing Facility
  • Ridgewood, NJ
  • NPI 1821272121

  Adp of the SNF, W-2 Managing Employee

  CMS ownership

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.

• Bergen Family & Geriatric Care PC

  • Specialist
  • Ramsey, NJ
  • NPI 1598712341

  Internal Medicine, NJ

  Medicare reassignment NPD
• Alignmed Medical Group NJ, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fair Lawn, NJ
  • NPI 1245061605
  NPD
• GPS Physician Group of New Jersey, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Voorhees, NJ
  • NPI 1548776008
  NPD
• Geps Physician Group of New Jersey PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kennett Square, PA
  • NPI 1871512038

  Internal Medicine

  NPD
• 330 Franklin Turnpike Operations LLC

  • Skilled Nursing Facility
  • Ridgewood, NJ
  • NPI 1821272121
  NPD (past)
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 330 Franklin Turnpike Operations LLC

  • Skilled Nursing Facility
  • Ridgewood, NJ
  • NPI 1821272121

  Nursing home

  Care Compare affiliation
• Ennoble Hospice NJ LLC

  • Community Based Hospice Care Agency
  • Hackettstown, NJ
  • NPI 1922543388

  Hospice

  Care Compare affiliation
• Family of Caring Healthcare at Ridgewood, LLC

  • Skilled Nursing Facility
  • Ridgewood, NJ
  • NPI 1508348400

  Nursing home

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633

  Hospital

  Care Compare affiliation
• Valley Home Care, Inc

  • Home Health Agency
  • Paramus, NJ
  • NPI 1174588925
  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1467401596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 POPLAR DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521357",
            "telephone_number": "201-818-0960",
            "fax_number": "201-825-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S FRANKLIN TPKE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462550",
            "telephone_number": "201-818-0960",
            "fax_number": "201-825-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "PURUSHOTHAM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA65862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8517100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Claire Starczak, DPT
• Kathleen Staunton, NP-C
• Peter Stern, M.D.
• Summit Medical Group PA
• Summit Psychotherapy and Wellness Center LLC
• Mark Sykes
• Synaptic Health Rehabilitation & Medicine PC
• Jordan Szabo, LSW
• Jonathan Tamarov, RPH
• Andrea Tan, MD

• Internal Medicine Physician in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.