Active NPI
Lynette G Suarez, MD
- Internal Medicine Physician
- Caldwell, NJ
National Provider Identifier
1689736993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05437900
- Practice address
- 360 Bloomfield Ave
Caldwell, NJ 07006-4905 - Phone
- (973) 226-8464
- Fax
- (973) 226-3750
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05437900 | NJ | Primary |
Addresses
Primary practice location
360 Bloomfield Ave
Caldwell, NJ 07006-4905
Mailing address
360 Bloomfield Ave
Caldwell, NJ 07006-4905
Phone (973) 226-8464
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0K5503 | Other | NJ | HEALTHNET |
| 4569202 | Medicaid | NJ | |
| P753127 | Other | NJ | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000721 | NJ | Practitioner - Internal Medicine | 7618001009 | Practice locations: Caldwell, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
360 Bloomfield Ave
Caldwell, NJ 07006-4905
Phone (973) 226-8464
Hospital & facility affiliations
- Patient Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.28 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 36 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Medical Center Group | Internal Medicine | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Caldwell, NJ
- NPI 1225810492
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Orange, NJ
- NPI 1922089929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1689736993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE",
"city": "CALDWELL",
"state": "NJ",
"postal_code": "070064905",
"telephone_number": "973-226-8464",
"fax_number": "973-226-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE",
"city": "CALDWELL",
"state": "NJ",
"postal_code": "070064905",
"telephone_number": "973-226-8464",
"fax_number": "973-226-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "LYNETTE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05437900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0K5503",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4569202",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P753127",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.