Jeannette A. Sujovolsky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08580200 Issued in NJ

Practice address

1116 43Rd St
North Bergen, NJ 07047-2712

Phone

(201) 330-2632

Fax

(201) 330-2638

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jeannette Aguilar Former name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsujovolsky229379@epicdirect.rwjbh.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Family Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693

  NJ

  Medicare reassignment NPD
• Newark Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD
• Concentra UC

  • Internal Medicine Physician
  • West New York, NJ
  • NPI 1265647044
  NPD (past)
• Meadowlands Physicians Professional Association

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1669728283
  NPD (past)
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  NPD (past)
• Coffee County Board of Health

  • Public Health or Welfare Agency
  • Douglas, GA
  • NPI 1316976699
  NPD (past)

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

• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1821179904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 43RD ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472712",
            "telephone_number": "201-330-2632",
            "fax_number": "201-330-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 43RD ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472712",
            "telephone_number": "201-330-2632",
            "fax_number": "201-330-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJOVOLSKY",
        "first_name": "JEANNETTE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08580200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "08BBRLV",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "AGUILAR",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Suarez-Garita, O.D
• Adriana I Suarez-Ligon, MD
• Sergio Alberto Suarez
• Sugandika Thilokeshwary Subawickrama, DSL
• Lokeash Subramani Shobana, MD.,
• Summit Medical Arts Associates, LLC
• Christina Sun
• Hee Chang Sung, M.D.
• Sunrise Community Care PC
• Patrick John Swaney, DO

• All providers in North Bergen, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.