Active NPI
David Peter Suarez, D.O.
- General Practice Physician
- Newark, NJ
National Provider Identifier
1871724617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25MB09855100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP0771229-851 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicare Multi Services LTD | Current | Accepting new patients | |
| Doctor'S Medical P.C | Current | Accepting new patients | |
| Northeast Spine & Wellness Center LLC | Current | 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.
-
- Specialist
- Clark, NJ
- NPI 1588798409
-
- Legal Medicine
- Brooklyn, NY
- NPI 1760670152
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1619984770
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.