DR. SUMA BALA GHANTA (NPI# 1609818756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609818756 |
| Entity Type | Individual |
| Full Name | DR. SUMA BALA GHANTA |
| Credential | M.D. |
| Practice Address |
183 Route 206 Flanders NJ 07836-9050 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 9733473277 |
| Practice Fax Number | 9733473141 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25MA07257600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8825106 | 05 |
| Street Address |
183 ROUTE 206 |
| City | FLANDERS |
| State | NJ |
| Zip Code | 07836-9050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609145671 | Tara Lynne Parker | Nurse Practitioner | 183 Route 206, Suite 1, Flanders, NJ 07836-9261 | 2011-12-21 |
| 1750619896 | Chikara Hwang | Physician Assistant | 183 Route 206, Suite 1, Flanders, NJ 07836-9261 | 2009-12-01 |
| 1437315181 | Leo Reisberg | Physician Assistant | 183 Route 206, Suite 1, Flanders, NJ 07836-9261 | 2008-08-01 |
| 1225071038 | Advocare, LLC | Family Medicine | 183 Route 206, 1, Flanders, NJ 07836-9261 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652486 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 293 Route 206 Suite 10, Flanders, NJ 07836 | 2019-08-01 |
| 1427527142 | Ben Aalampour | Pharmacist | 293 Highway 206, Unit 1, Flanders, NJ 07836 | 2018-11-26 |
| 1801396908 | Alyxandra A Direnzo | Speech-Language Pathologist | 114 Cloverhill Dr, Flanders, NJ 07836 | 2018-02-15 |
| 1598278616 | Katelyn Meier | Social Worker | 4 Gold Mine Road, Flanders, NJ 07836 | 2017-11-10 |
| 1457504227 | Edy M. Toussaint | Specialist | 148 Rt. 206, Flanders, NJ 07836 | 2008-10-24 |
| 1699966713 | Jennifer Joann Argenziano | Dentist | 191 Route 206 Suite 1, Flanders, NJ 07836 | 2007-08-05 |
| 1750501714 | Michael Richard Dunleavy | Social Worker | 6 River Rd, Flanders, NJ 07836 | 2007-05-01 |
| 1144375957 | Arthur Howard Nusbaum | Dentist | 11 Deerfield Place, Flanders, NJ 07836 | 2007-01-24 |
| 1386711000 | Michael Claude Ropp | Chiropractor | 193 Rt 206 N, Bldg 2, Flanders, NJ 07836 | 2006-11-29 |
| 1770555930 | Mazen S. Itani | Radiology | 183 Us Highway 206 Ste 2, Flanders, NJ 07836 | 2006-02-02 |
| Find all providers in zip 07836 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295957769 | Washington Family Medicine, PC | General Practice | 191 Us Highway 206, Suite 5, Flanders, NJ 07836-9002 | 2007-05-03 |
| 1629081211 | Charles Choe | General Practice | 183 Route 206 South, Flanders, NJ 07836 | 2006-08-14 |
| 1346280567 | Anthony Guy Miccio | General Practice | 183 Route 206 South, Flanders, NJ 07836 | 2006-06-07 |
| 1609822501 | Karen Ruth Peters | General Practice | 183 Route 206 South, Flanders, NJ 07836 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406010 | Nurse Practitioner Affiliates LLC | General Practice | 1608 Route 88 Ste 301, Brick, NJ 08724-3009 | 2020-10-28 |
| 1609482926 | Hunterdon Primary Care PC | General Practice | 200 Route 31 Ste 105, Flemington, NJ 08822-5812 | 2020-09-22 |
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.