Suburban Nephrology Group PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUBURBAN NEPHROLOGY GROUP PA

Practice address

510 Hamburg Tpke
Suite 108
Wayne, NJ 07470-2025

Phone

(973) 389-1119

Fax

(973) 389-1145

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sam Rae, MDNPI 1649277294

Title

Physician

Phone

(973) 389-1119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Sam Rae, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1649277294
  Medicare reassignment Care Compare group NPD Authorized official
• Ignazio Fazio, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1972500528
  Medicare reassignment Care Compare group NPD
• Monalisa Joseph, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1578849345
  Medicare reassignment Care Compare group NPD
• Kevin Edwin Vitting, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1598762148
  Medicare reassignment Care Compare group NPD
• Eugene Zeltser, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1215948617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1972614022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE",
            "address_2": "SUITE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702025",
            "telephone_number": "973-389-1119",
            "fax_number": "973-389-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE",
            "address_2": "SUITE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702025",
            "telephone_number": "973-389-1119",
            "fax_number": "973-389-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN NEPHROLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-389-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Steven Stricker, MD
• Stride Physical Therapy & Wellness
• Gary Steven Struble, PT
• Conrad D Stumpf
• Jessica C. Suarez, PT, DPT
• Arthur Suffin, M.D.
• Kei Sugahara, OD
• Hea Ryoung Suh, L.AC.
• Mitaec Suh, NP
• Summit Medical Group PA

• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.