Individual provider Active NPI

Sucheta M Nasta, M. D.

  • Family Medicine Physician
  • East Orange, NJ
National Provider Identifier
1760589337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA37866 Issued in NJ
Practice address
90 Washington St
Suite 311
East Orange, NJ 07017-1050
Phone
(973) 676-7192
Fax
(973) 676-0525
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA37866 NJ Primary

Addresses

Primary practice location

90 Washington St
Suite 311
East Orange, NJ 07017-1050

Mailing address

90 Washington St
Suite 311
East Orange, NJ 07017-1050
Phone (973) 676-7192

Other identifiers 1

IdentifierTypeStateIssuer
3673502MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA37866NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemberton M.D P.C PastSince Sep 1, 2018 Accepting new patients
Cardiology and Vascular Consultants of New Jersey Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760589337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "address_2": "SUITE 311",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-676-7192",
            "fax_number": "973-676-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "address_2": "SUITE 311",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-676-7192",
            "fax_number": "973-676-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTA",
        "first_name": "SUCHETA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA37866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3673502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.