NPIMap

Individual provider Active NPI

Thomas John Suczewski, M.D.

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1750424180
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA 00042842 Issued in NJ
Practice address
323 Avenue E
Bayonne, NJ 07002-4612
Phone
(201) 339-8600
Fax
(201) 339-2894
NPI assigned
Feb 15, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA 00042842 NJ Primary

Addresses

Primary practice location

323 Avenue E
Bayonne, NJ 07002-4612

Mailing address

323 Avenue E
Bayonne, NJ 07002-4612
Phone (201) 339-8600

Other identifiers 2

IdentifierTypeStateIssuer
22-2664052OtherFEDERAL TAX ID NO.
MA 00042842OtherNJNEW JERSEY LICENSE NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000355 NJ Practitioner - Internal Medicine 0042479461 Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

323 Ave E
Bayonne, NJ 07002-4690
Phone (201) 339-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 00042842NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Edward J Suczewski Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.suczewski@direct.bayonnemedicalcenter.md

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750424180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 AVENUE E",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024612",
            "telephone_number": "201-339-8600",
            "fax_number": "201-339-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 AVENUE E",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024612",
            "telephone_number": "201-339-8600",
            "fax_number": "201-339-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCZEWSKI",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA 00042842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID NO.",
            "identifier": "22-2664052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY LICENSE NO.",
            "identifier": "MA 00042842",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.