DR. JOHN IVAN SUTTER (NPI# 1407848575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407848575 |
| Entity Type | Individual |
| Full Name | DR. JOHN IVAN SUTTER |
| Credential | M.D. |
| Practice Address |
925 Clifton Ave Suite 102 Clifton NJ 07013-2724 |
| Practice Telephone | 9737782083 |
| Practice Fax Number | 9737781584 |
| Mailing Telephone | 9737782083 |
| Mailing Fax Number | 9737781584 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MA037771 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HMO | 223674880 | 01 |
| NJ | 3078302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700902046 | John Patrick Sutter | Family Medicine | 200 North Glebe Rd Suite 104, Phoenix House Mid Atlantic, Arlington, VA 22203 | 2007-03-21 |
| 1548823594 | John Henry Sutter | Student in an Organized Health Care Education/Training Program | 925 Seneca St, Seattle, WA 98101-2742 | 2019-04-16 |
| 1861711509 | John Michael Sutter | Family Medicine | 70 Clairedan Dr, Powell, OH 43065-7340 | 2010-05-20 |
| 1093997462 | John Gerard Sutter | Pharmacist | 700 Washington St, Horicon, WI 53032-1655 | 2007-11-28 |
| 1710980685 | John R Sutter | Family Medicine | 3250 Middle Urbana Rd, Springfield, OH 45502-9285 | 2005-05-24 |
| Street Address |
925 CLIFTON AVE SUITE 102 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829276 | Tania A Witek | Counselor | 925 Clifton Ave, Clifton, NJ 07013-2724 | 2019-09-06 |
| 1740639004 | Advanced Behavioral Specialists, LLC | Community/Behavioral Health | 925 Clifton Ave, Suite 103, Clifton, NJ 07013-2724 | 2016-06-08 |
| 1700142791 | Garden State Orthopaedic Associates, P.a. | Clinic/Center | 925 Clifton Ave, Clifton, NJ 07013-2724 | 2012-04-04 |
| 1487920377 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 925 Clifton Ave, Suite 106, Clifton, NJ 07013-2724 | 2012-03-26 |
| 1972871366 | Paul P Cusano Md Pa | Psychiatry & Neurology | 925 Clifton Ave, Suite 103, Clifton, NJ 07013-2724 | 2011-12-13 |
| 1528347101 | Millennium Healthcare of Clifton, LLC | Clinic/Center | 925 Clifton Ave, Suite #201, Clifton, NJ 07013-2724 | 2011-08-12 |
| 1891097648 | Ahmed Mekkawy, M.d., P.a. | Clinic/Center | 925 Clifton Ave, Suite 101, Clifton, NJ 07013-2724 | 2010-11-30 |
| 1326279795 | John Ivan Sutter, Md, Pa | Pediatrics | 925 Clifton Ave, Suite 102, Clifton, NJ 07013-2724 | 2009-08-04 |
| 1124229588 | Clifton Foot Center | Podiatrist | 925 Clifton Ave, Ste107, Clifton, NJ 07013-2724 | 2007-05-31 |
| 1295951960 | Naomi Joyce Weinshenker | Psychiatry & Neurology | 925 Clifton Ave, Suite 103, Clifton, NJ 07013-2724 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215023924 | Melih Sarigul | Pediatrics | 296 Clifton Ave, Clifton, NJ 07011 | 2006-10-04 |
| 1225479991 | Nuheights Pediatrics | Pediatrics | 1115 Clifton Ave, Suite 101, Clifton, NJ 07013-3641 | 2013-07-10 |
| 1073741856 | Clifton Pediatrics, Ptr | Pediatrics | 296 Clifton Ave, Clifton, NJ 07011-2223 | 2009-06-30 |
| 1932204823 | Sushma Gandhi | Pediatrics | 975 Clifton Ave, Clifton, NJ 07013-2722 | 2006-09-14 |
| 1427099829 | Malgorzata Modrzejewska Kortowska | Pediatrics | 266 Lakeview Ave, Clifton, NJ 07011-4026 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.