Suburban Medical Group, P,a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA021365 Issued in NJ

Legal business name

SUBURBAN MEDICAL GROUP, P,A.

Practice address

282 South Ave
Suite 102
Fanwood, NJ 07023-1372

Phone

(908) 889-4600

Fax

(908) 889-4650

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd F. Boff, M.D.

Title

President

Phone

(908) 889-4600

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moein Faghih Vaseghi, M.D

  • Nuclear Cardiology Physician
  • Westfield, NJ
  • NPI 1003892779
  NPD (past)
• Natasha A Fuksina, M.D.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1053398065
  NPD (past)
• Henry Gaspard, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1881646172
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932304235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 SOUTH AVE",
            "address_2": "SUITE 102",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231372",
            "telephone_number": "908-889-4600",
            "fax_number": "908-889-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 SOUTH AVE",
            "address_2": "SUITE 102",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231372",
            "telephone_number": "908-889-4600",
            "fax_number": "908-889-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL GROUP, P,A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOFF",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-889-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA021365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Shin, O.D.
• Jennifer Souza
• Speech and Feeding Associates
• Spine and Joint Pain Center LLC
• Angelica Spirito, BCBA
• Christina Sulfaro
• Jennifer R Sullivan, MS,CCC-SLP
• Hira Tanvir, FNP
• The Arc of Union County
• The Arc of Union County

• Family Medicine Physician in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.