Individual provider Active NPI

Suk I Ghong, DPM

  • Podiatrist
  • Metuchen, NJ
National Provider Identifier
1811067119
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NJ MD02545 Issued in NJ
Practice address
219 Bridge St
BLD E
Metuchen, NJ 08840-2291
Phone
(732) 635-0400
Fax
(732) 635-1511
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NJ MD02545 NJ Primary

Addresses

Primary practice location

219 Bridge St
BLD E
Metuchen, NJ 08840-2291

Mailing address

219 Bridge St
BLD E
Mekuchen, NJ 08840-2291
Phone (732) 635-0400

Other identifiers 1

IdentifierTypeStateIssuer
7972903MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000143 NJ Practitioner - Podiatry 1557572088 Practice locations: Metuchen, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 Bridge St
Metuchen, NJ 08840-2291
Phone (732) 635-0400

219 Bridge St E
Metuchen, NJ 08840-2291

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue230
Removal of nail tissue1036
Removal or shaving of skin growth464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ MD02545NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suk Ghong'S Podiatry P.C CurrentSince Mar 15, 2005 Accepting new patients

Locations

219 Bridge St
Bldg E
Metuchen, NJ 08840
Phone (732) 635-0400

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1811067119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BRIDGE ST",
            "address_2": "BLD E",
            "city": "MEKUCHEN",
            "state": "NJ",
            "postal_code": "088402291",
            "telephone_number": "732-635-0400",
            "fax_number": "732-635-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRIDGE ST",
            "address_2": "BLD E",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402291",
            "telephone_number": "732-635-0400",
            "fax_number": "732-635-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHONG",
        "first_name": "SUK",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "NJ MD02545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7972903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.