Individual provider Active NPI

Varsha Vallapuzha Suresh

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1508327206
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA12136700 Issued in NJ
Practice address
26 Greenville Ave
Jersey City, NJ 07305-2608
Phone
(201) 333-8222
Fax
(201) 333-0095
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA12136700 NJ Primary

Addresses

Primary practice location

26 Greenville Ave
Jersey City, NJ 07305-2608

Mailing address

26 Greenville Ave
Jersey City, NJ 07305-2608
Phone (210) 333-8222

Other practice location 1

510 31st St Bsmt
Union City, NJ 07087-3907
Phone (201) 866-3322

Other practice location 2

377 Jersey Ave Ste 220
Jersey City, NJ 07302-4396
Phone (201) 333-8222

Other practice location 3

862 Broadway
Bayonne, NJ 07002-3054
Phone (201) 333-8222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vsuresh65982@direct.acumenmd.com

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
I20240607001097 NJ Practitioner - Nephrology 6103368956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Kidney Care LLCGroup PAC ID 1052695137, 9 clinicians

Practice addresses (Care Compare)

510 31St St
BSMT
Union City, NJ 07087-3907
Phone (201) 866-3322

Hospital & facility affiliations

  • FMC Jersey City Dialysis facility, Jersey City, NJ, CCN 312502
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Kidney Care LLC Nephrology CurrentSince Aug 1, 2024 Accepting new patients
Stephen Thomsen MD PA Nephrology CurrentSince Aug 1, 2024 Accepting new patients

Locations

862 Broadway
Bayonne, NJ 07002
Phone (201) 333-8222

377 Jersey Ave
Ste 220
Jersey City, NJ 07302
Phone (201) 309-2380

26 Greenville Ave
Jersey City, NJ 07305
Phone (201) 333-8222

510 31st St
Bsmt
Union City, NJ 07087
Phone (201) 866-3322

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1508327206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "210-333-8222",
            "fax_number": "201-333-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 31st St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070873907",
            "country_code": "US",
            "telephone_number": "201-866-3322",
            "fax_number": "201-866-2289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Jersey Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024396",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023054",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURESH",
        "first_name": "VARSHA",
        "middle_name": "VALLAPUZHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA12136700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vsuresh65982@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "26 Greenville Ave",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073052608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.