Individual provider Active NPI

Anjuli K Suda, M.D.

  • Pediatrics Physician
  • Kinnelon, NJ
National Provider Identifier
1467404434
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA43353 Issued in NJ
Practice address
170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347
Phone
(973) 838-0001
Fax
(973) 838-1775
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA43353 NJ Primary

Addresses

Primary practice location

170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347

Mailing address

170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347
Phone (973) 838-0001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513000617 NJ Practitioner - Pediatric Medicine 4385987478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA43353NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Pediatrics Current Accepting new patients
Primary Care Partners, LLC CurrentSince May 1, 2019 Accepting new patients
Primary Care Partners, LLC CurrentSince May 1, 2019 Accepting new patients

Locations

170 Kinnelon Rd
Rm 28
Kinnelon, NJ 07405
Phone (973) 838-1717

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467404434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD",
            "address_2": "SUITE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-0001",
            "fax_number": "973-838-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD",
            "address_2": "SUITE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-0001",
            "fax_number": "973-838-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDA",
        "first_name": "ANJULI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA43353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.