Active NPI
Sucheta M Nasta, M. D.
- Family Medicine Physician
- East Orange, NJ
National Provider Identifier
1760589337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA37866
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3673502 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA37866 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pemberton M.D P.C | Past | 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.
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- Maplewood, NJ
- NPI 1629391180
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1437686219
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.