Active NPI
Michelle Suh, DPM
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NJ
National Provider Identifier
1780099044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00337400
- Practice address
- 400 Rte 17
Ridgewood, NJ 07450-2010 - Phone
- (201) 445-2288
- Fax
- (201) 445-2288
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00337400 | NJ | Primary |
Addresses
Primary practice location
400 Rte 17
Ridgewood, NJ 07450-2010
Mailing address
400 Rte 17
Ridgewood, NJ 07450-2010
Phone (201) 445-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00337400 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Foot and Ankle | Foot & Ankle Surgery | Current | Accepting new patients |
| Fellowship Village Inc. | Current | Accepting new patients | |
| Fellowship Senior Living, Inc. | Current | Accepting new patients | |
| Proactive Foot and Ankle | Current | Accepting new patients |
Locations
8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800
74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113
Interoperability endpoints
- https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
-
dba Fellowship Garden State Hospice
- Community Based Hospice Care Agency
- Basking Ridge, NJ
- NPI 1386191302
-
- Foot & Ankle Surgery Podiatrist
- Park Ridge, NJ
- NPI 1639699325
-
- Durable Medical Equipment & Medical Supplies
- Old Tappan, NJ
- NPI 1710477864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780099044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RTE 17",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502010",
"telephone_number": "201-445-2288",
"fax_number": "201-445-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RTE 17",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502010",
"telephone_number": "201-445-2288",
"fax_number": "201-445-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "MICHELLE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00337400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.