Active NPI
Robert M Suchow, DND
- Periodontics
- Whitehouse Station, NJ
National Provider Identifier
1861562001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 13049
- Practice address
- 133 Main St
Whitehouse Station, NJ 08889-3698 - Phone
- (908) 534-5555
- Fax
- (908) 534-1432
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 13049 | NJ | Primary |
Addresses
Primary practice location
133 Main St
Whitehouse Station, NJ 08889-3698
Mailing address
PO Box 483
133 Main St.
Whitehouse Station, NJ 08889-0483
Phone (908) 534-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13049 | NJ | MD | Periodontist |
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": "1183852800000",
"number": "1861562001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"address_2": "133 MAIN ST.",
"city": "WHITEHOUSE STATION",
"state": "NJ",
"postal_code": "088890483",
"telephone_number": "908-534-5555",
"fax_number": "908-534-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MAIN ST",
"city": "WHITEHOUSE STATION",
"state": "NJ",
"postal_code": "088893698",
"telephone_number": "908-534-5555",
"fax_number": "908-534-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHOW",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "13049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehouse Station, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.