NPIMap

Organization Active NPI

Ritu Suri MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tenafly, NJ
National Provider Identifier
1972656353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA72885 Issued in NJ
Legal business name
RITU SURI MD, LLC
Practice address
151 Mackay Dr
Tenafly, NJ 07670-2419
Phone
(201) 568-2387
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ritu SuriNPI 1972696409
Title
Owner
Phone
(201) 568-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA72885 NJ Primary

Addresses

Primary practice location

151 Mackay Dr
Tenafly, NJ 07670-2419

Mailing address

151 Mackay Dr
Tenafly, NJ 07670-2419
Phone (201) 568-2387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000495 NJ Part B Supplier - Clinic/Group Practice 3779585567 Receives reassigned benefits from 23 practitioners
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

175 W Hudson Ave
Ste 100
Englewood, NJ 07631

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972656353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MACKAY DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702419",
            "telephone_number": "201-568-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MACKAY DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702419",
            "telephone_number": "201-568-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITU SURI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-568-2387",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA72885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • 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.
  • 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.