Individual provider Active NPI

Fernando Suarez, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1619297975
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
275225 Issued in NY
Practice address
1407 W 6TH St
Brooklyn, NY 11204-4802
Phone
(718) 236-6994
Fax
(718) 256-4912
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12026800 NJ
Pediatrics Physician 208000000X ME116606 FL
Pediatrics Physician 208000000X 275225 NY Primary

Addresses

Primary practice location

1407 W 6TH St
Brooklyn, NY 11204-4802

Mailing address

1407 W 6TH St
Brooklyn, NY 11204-4802
Phone (718) 236-6994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190912000517 NY Practitioner - Pediatric Medicine 0446495295 Reassigns benefits to 2 organizations
I20231212000307 NJ Practitioner - Pediatric Medicine 0446495295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116606FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Sanitas Medical Center of New Jersey PC CurrentSince Dec 1, 2023 Accepting new patients
Sanitas Medical Center of New Jersey PC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
New York University CurrentSince Sep 1, 2019 Accepting new patients
Rwjbh Primary Care Services Family Medicine CurrentSince May 23, 2024 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

3196 Kennedy Blvd
#F
Union City, NJ 07087
Phone (201) 330-3033

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

160 E 32nd St
#2
New York, NY 10016
Phone (212) 263-5940

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1619297975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-236-6994",
            "fax_number": "718-256-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-236-6994",
            "fax_number": "718-256-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12026800",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME116606",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "275225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.