David Brand Sutter, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03126800 Issued in NJ

Practice address

638 Summit Ave
Franklin Lakes, NJ 07417-1734

Phone

(201) 848-1731

NPI assigned

Dec 14, 2005

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 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487639191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171734",
            "telephone_number": "201-848-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171734",
            "telephone_number": "201-848-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "DAVID",
        "middle_name": "BRAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03126800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7271107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA03126800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "31D0110140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CDS NUMBER",
            "identifier": "D01934300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corie Stone, L.AC.
• Success Source Counseling and Life Coaching, LLC
• Paige B Suchoff
• Sunrise Medicine Limited Liability Company
• Sunrise of Franklin Lakes Opco, LLC (Sunrise of Franklin Lakes)
• Adriana Juliet Tandazo, PTA
• The Smile Stop Franklin Lakes
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy 829)
• Lauren Torrisi-Gorra, RDN
• Erin Unger, PA-C

• Internal Medicine Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, 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 Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.