Active NPI
Nipun Suri, M.D.
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0028461
- Practice address
- 4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- Jul 20, 2011
- Last updated
- Mar 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09912600 | NJ | |
| Internal Medicine Physician | 207R00000X | C1-0028461 | DE | Primary |
| Internal Medicine Physician | 207R00000X | D0104296 | MD | |
| Internal Medicine Physician | 207R00000X | A117427 | CA |
Addresses
Primary practice location
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone (302) 623-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
90 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-5004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117427 | CA | MD | Internal Medicine Physician |
| C1-0028461 | DE | MD | Internal Medicine Physician |
| D0104296 | MD | MD | Internal Medicine Physician |
| 25MA09912600 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Internal Medicine | Current | Accepting new patients |
| University Hospital | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
Interoperability endpoints
- nipun.suri@direct.bayonnemedicalcenter.md
Organizations & group practices 6
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.
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba CCHS Hospitalist Partners
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1548558877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURI",
"first_name": "NIPUN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-20",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09912600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0028461",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0104296",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.