Active NPI
Sumon Kumar Das, M.D.
- Pediatric Critical Care Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MA08536500
- Practice address
- 201 Lyons Ave
Ste C5
Newark, NJ 07112-2027 - Phone
- (973) 926-8267
- Fax
- (973) 926-6452
- NPI assigned
- Aug 20, 2008
- Last updated
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD438297 | PA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 246038 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MA08536500 | NJ | Primary |
Addresses
Primary practice location
201 Lyons Ave
Ste C5
Newark, NJ 07112-2027
Mailing address
201 Lyons Ave
Ste C5
Newark, NJ 07112-2027
Phone (973) 926-8267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194476 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdas78624@direct-uhnj.org | Direct | University Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA08536500 | NJ | MD | Pediatric Critical Care Medicine Physician |
| MD438297 | PA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
Ste C5
Newark, NJ 07112
Phone (973) 926-6770
201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Pediatric Associates
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba Harlem Hospital Center
- General Acute Care Hospital
- New York, NY
- NPI 1033124961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1780831867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"address_2": "STE C5",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-8267",
"fax_number": "973-926-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"address_2": "STE C5",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-8267",
"fax_number": "973-926-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAS",
"first_name": "SUMON",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD438297",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "246038",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NJ",
"license": "MA08536500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194476",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdas78624@direct-uhnj.org",
"affiliation": "Y",
"endpointDescription": "Epic",
"affiliationName": "University Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "150 Bergen St",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071032496",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.