Active NPI
Edison Neurology LLC
- Medical Specialty Clinic/Center
- East Orange, NJ
National Provider Identifier
1497466858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hasmukh Sutaria, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568750263 | Medicaid | NJ | |
| 1366408056 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.