Organization Active NPI

Edison Neurology LLC

  • Medical Specialty Clinic/Center
  • East Orange, NJ
National Provider Identifier
1497466858
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EDISON NEUROLOGY LLC
Practice address
Carewell Health Medical Center
300 Central Avenue
East Orange, NJ 07018
Phone
(973) 672-8400
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Hasmukh Sutaria, MDNPI 1366408056
Title
Owner
Phone
(908) 672-0403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

Carewell Health Medical Center
300 Central Avenue
East Orange, NJ 07018

Mailing address

17 Anna LN
Edison, NJ 08820-1503
Phone (908) 672-0403

Other practice location 1

Newark Beth Israel Medical Cnter
201 Lyons Avenue
Newark, NJ 07112
Phone (973) 926-7000

Other identifiers 2

IdentifierTypeStateIssuer
1568750263MedicaidNJ
1366408056MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207003683 NJ Part B Supplier - Clinic/Group Practice 3274905856 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ; East Orange, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1497466858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ANNA LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201503",
            "telephone_number": "908-672-0403",
            "fax_number": "908-756-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAREWELL HEALTH MEDICAL CENTER",
            "address_2": "300 CENTRAL AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-672-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Newark Beth Israel Medical Cnter",
            "address_2": "201 Lyons Avenue",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07112",
            "country_code": "US",
            "telephone_number": "973-926-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDISON NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "SUTARIA",
        "authorized_official_first_name": "HASMUKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-672-0403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568750263",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366408056",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.