Matthew Yongwon Suh, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

25MA09125900 Issued in NJ

Practice address

222 High St
#206
Newton, NJ 07860-9604

Phone

(646) 397-4068

Fax

(646) 351-0893

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

General Surgery

Education

State University of New York at Stony Brook, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians

Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bushwick Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1720565922
  Medicare reassignment Care Compare group NPD
• Foxhurst Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1730547522
  Medicare reassignment Care Compare group NPD
• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067
  Medicare reassignment Care Compare group NPD
• Fordham Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1205332905
  Medicare reassignment NPD (past)
• New York City Healthcare Medical Services LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1487489688
  NPD
• USA Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Ridgewood, NY
  • NPI 1962895680
  NPD
• Pelham Pkwy Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1063926962
  NPD (past)
• Queens Medical of New York LLC

  • Vascular Surgery Physician
  • Forest Hills, NY
  • NPI 1730439704
  NPD (past)
• St. Nicholas Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1033631064
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1720085707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MAIN ST",
            "address_2": "#140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440213",
            "telephone_number": "646-397-4068",
            "fax_number": "646-351-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "#206",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609604",
            "telephone_number": "646-397-4068",
            "fax_number": "646-351-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "MATTHEW",
        "middle_name": "YONGWON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "224199",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "256820",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "256820",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA09125900",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09125900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hristo Vassilev Stoytchev, MD
• Straw House Psychotherapy LLC
• Maureen Strelzik, LCSW
• Greg Stritter
• Ga Young Suh
• Summit at Newton, LLC
• Surgical Associates of Sussex County PA
• Sussex Audiology Services and Hearing Aid Center, LLC
• Sussex County Adult Day Center
• Sussex County Division of Social Services

• Surgical Oncology Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Surgical Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.

Verify at the official NPI Registry.