Provider Demographics
NPI:1033675681
Name:SUAREZ HEALTH MEDICAL PLLC
Entity Type:Organization
Organization Name:SUAREZ HEALTH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-537-7599
Mailing Address - Street 1:1 STATION PLZ
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1605
Mailing Address - Country:US
Mailing Address - Phone:201-537-7599
Mailing Address - Fax:201-537-7599
Practice Address - Street 1:1299 MCCARTER HWY STE 1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3757
Practice Address - Country:US
Practice Address - Phone:201-537-7599
Practice Address - Fax:201-537-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1871724617OtherNPPES