Organization Active NPI

Kinnelon Medical & Pediatric Associates, PA

  • Family Medicine Physician
  • Kinnelon, NJ
National Provider Identifier
1760528681
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08006300 Issued in NJ
Legal business name
KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA
Practice address
170 Kinnelon Rd Ste 28
Kinnelon, NJ 07405-2347
Phone
(973) 838-1717
Fax
(973) 838-1775
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Abhay K Suda, M.D.
Title
President
Phone
(973) 838-1717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MA08006300 NJ Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X MA34985 NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA43353 NJ

Addresses

Primary practice location

170 Kinnelon Rd Ste 28
Kinnelon, NJ 07405-2347

Mailing address

170 Kinnelon Rd Ste 28
Kinnelon, NJ 07405-2347
Phone (973) 838-1717

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0675903Kinnelon Medical & Pediatric Assoc170 Kinnelon Road, Kinnelon, NJ 07405Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760528681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD STE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-1717",
            "fax_number": "973-838-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD STE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-1717",
            "fax_number": "973-838-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNELON MEDICAL & PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SUDA",
        "authorized_official_first_name": "ABHAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-838-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08006300",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA34985",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA43353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.