Individual provider Active NPI

Ayah Suleiman

  • Gerontology Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1679335582
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ14980600 Issued in NJ
Practice address
92 Summit Ave
Hackensack, NJ 07601-1263
Phone
(201) 342-0066
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ14980600 NJ Primary

Addresses

Primary practice location

92 Summit Ave
Hackensack, NJ 07601-1263

Mailing address

49 Peniston Ave
East Hanover, NJ 07936-3059
Phone (201) 923-4102

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327002800 NJ Practitioner - Nurse Practitioner 6901243880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

92 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 373-6522

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14980600NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

140 Grand Ave
Ste A
Englewood, NJ 07631
Phone (201) 488-1700

4-14 Saddle River Rd
Ste 102
Fair Lawn, NJ 07410

92 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-0066

3 University Plz
Ste 205
Hackensack, NJ 07601

37 Pompton Rd
Haledon, NJ 07508
Phone (201) 373-6600

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Interoperability endpoints

  • Direct secure messaging: ayah.suleiman.1@22331.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1679335582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PENISTON AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363059",
            "telephone_number": "201-923-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-342-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEIMAN",
        "first_name": "AYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14980600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.