Individual provider Active NPI

David Peter Suarez, D.O.

  • General Practice Physician
  • Newark, NJ
National Provider Identifier
1871724617
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MB09855100 Issued in NJ
Practice address
1299 McCarter Hwy Ste 1a
Newark, NJ 07104-3757
Phone
(201) 537-7599
Fax
(201) 537-7599
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AP0771229-851 NY
General Practice Physician 208D00000X 25MB09855100 NJ Primary

Addresses

Primary practice location

1299 McCarter Hwy Ste 1a
Newark, NJ 07104-3757

Mailing address

22 Byrne PL
Bergenfield, NJ 07621-1002
Phone (855) 679-7873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190517000146 NY Practitioner - General PracticePractitioner - General Surgery 6406021245 Reassigns benefits to 3 organizations
I20210211002280 NJ Practitioner - Osteopathic Manipulative MedicinePractitioner - General Surgery 6406021245 Reassigns benefits to 1 organization
I20240228000560 PA Practitioner - General Practice 6406021245

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Spine and Wellness Center LLCGroup PAC ID 1951487016, 8 clinicians

Practice addresses (Care Compare)

1043 Raritan Rd
Clark, NJ 07066-1316
Phone (732) 827-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
AP0771229-851NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicare Multi Services LTD CurrentSince Sep 1, 2024 Accepting new patients
Doctor'S Medical P.C CurrentSince Sep 1, 2024 Accepting new patients
Northeast Spine & Wellness Center LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1043 Raritan Rd
Clark, NJ 07066
Phone (732) 382-3300

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1871724617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BYRNE PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211002",
            "telephone_number": "855-679-7873",
            "fax_number": "855-679-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 MCCARTER HWY STE 1A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043757",
            "telephone_number": "201-537-7599",
            "fax_number": "201-537-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "AP0771229-851",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB09855100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.