Individual provider Active NPI

Suraj Malhan, DO

  • Neurology Physician
  • Eatontown, NJ
National Provider Identifier
1487208559
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB12637800 Issued in NJ
Practice address
200 Wyckoff Rd Ste 4400
Eatontown, NJ 07724-0199
Phone
(848) 377-9255
Fax
(609) 991-6294
NPI assigned
Jul 28, 2019
Reactivated
Apr 15, 2020
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X OS023307 PA
Neurology Physician 2084N0400X 25MB12637800 NJ Primary

Addresses

Primary practice location

200 Wyckoff Rd Ste 4400
Eatontown, NJ 07724-0199

Mailing address

200 Wyckoff Rd Ste 4400
Eatontown, NJ 07724-0199
Phone (848) 377-9255

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
I20251029000301 NJ Practitioner - Osteopathic Manipulative Medicine 0648675561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

200 Wyckoff Rd
Suite 4500
Eatontown, NJ 07724-1927
Phone (732) 923-6091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12637800NJMDNeurology Physician
OS023307PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Aug 24, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 24, 2025 Accepting new patients

Locations

200 Wyckoff Rd
Ste 4400
Eatontown, NJ 07724
Phone (848) 377-9255

200 Wyckoff Rd
Ste 4500
Eatontown, NJ 07724
Phone (732) 235-7960

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1487208559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF RD STE 4400",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240199",
            "telephone_number": "848-377-9255",
            "fax_number": "609-991-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF RD STE 4400",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240199",
            "telephone_number": "848-377-9255",
            "fax_number": "609-991-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHAN",
        "first_name": "SURAJ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-28",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "deactivation_date": "2019-10-08",
        "reactivation_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS023307",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB12637800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.