Active NPI
Anju Suhag, MD
- Maternal & Fetal Medicine Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 307786
- Practice address
- 120 Mineola Blvd Ste 110
Mineola, NY 11501-4077 - Phone
- (516) 663-3010
- Fax
- (516) 663-3026
- NPI assigned
- Jan 29, 2013
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 307786 | NY | Primary |
Addresses
Primary practice location
120 Mineola Blvd Ste 110
Mineola, NY 11501-4077
Mailing address
120 Mineola Blvd
Mineola, NY 11501-4064
Phone (516) 663-3010
Other practice location 1
9700 Bissonnet St
Suite 1000W
Houston, TX 77036-8001
Phone (832) 828-1005
Other practice location 2
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0362409 | Medicaid | NJ | |
| 102844682 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asuhag455502@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Mineola Blvd
Suite 110
Mineola, NY 11501-4077
Phone (516) 663-3061
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307786 | NY | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Obstetrics & Gynecology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Trihealth G LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Trihealth H LLC | Maternal & Fetal Medicine | Past | Accepting new patients |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600
120 Mineola Blvd
Ste 110
Mineola, NY 11501
Phone (516) 663-3061
120 Mineola Blvd
Mineola, NY 11501
Phone (516) 663-4510
120 Mineola Blvd
Ste 210
Mineola, NY 11501
Phone (516) 663-4600
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- asuhag455502@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Obstetrics & Gynecology
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1821336686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014064",
"telephone_number": "516-663-3010",
"fax_number": "516-663-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD STE 110",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014077",
"telephone_number": "516-663-3010",
"fax_number": "516-663-3026"
}
],
"practiceLocations": [
{
"address_1": "9700 Bissonnet St",
"address_2": "Suite 1000W",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770368001",
"country_code": "US",
"telephone_number": "832-828-1005",
"fax_number": "832-828-8740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Village Dr",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173403",
"country_code": "US",
"telephone_number": "859-301-2445",
"fax_number": "859-344-5552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUHAG",
"first_name": "ANJU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "307786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0362409",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102844682",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asuhag455502@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "120 Mineola Blvd Ste 110",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115014077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.