Individual provider Active NPI

Michael James Sulewski, PA-C

  • Surgical Physician Assistant
  • Edison, NJ
National Provider Identifier
1831827948
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00723600 Issued in NJ
Practice address
2035 Lincoln Hwy
Edison, NJ 08817-3351
Phone
(732) 974-0404
Fax
(732) 449-4271
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00723600 NJ
Surgical Physician Assistant 363AS0400X 25MP00723600 NJ Primary

Addresses

Primary practice location

2035 Lincoln Hwy
Edison, NJ 08817-3351

Mailing address

2035 Lincoln Hwy
Edison, NJ 08817-3351
Phone (732) 974-0404

Other practice location 1

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901000352 NJ Practitioner - Physician Assistant 0446634919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00723600NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Jul 15, 2024 Accepting new patients
Orthonj LLC CurrentSince Aug 7, 2022 Accepting new patients
Orthonj LLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500

2035 Lincoln Hwy
Edison, NJ 08817
Phone (732) 974-0404

765 Lacey Rd
Forked River, NJ 08731
Phone (732) 840-7500

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

Interoperability endpoints

  • Direct secure messaging: msulewski467170@direct.ahsys.org

Organizations & group practices 3

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 1

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1831827948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173351",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173351",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Route 34",
            "address_purpose": "LOCATION",
            "city": "Manasquan",
            "state": "NJ",
            "postal_code": "087361444",
            "country_code": "US",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULEWSKI",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00723600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00723600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.