Healthcare Provider Details

I. General information

NPI: 1750194858
Provider Name (Legal Business Name): NORTH JERSEY MEDICAL AND GERIATRICS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 ENGLE STREET
ENGLEWOOD NJ
07631
US

IV. Provider business mailing address

245 ENGLE STREET
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-725-8700
  • Fax: 201-871-9722
Mailing address:
  • Phone: 201-725-8700
  • Fax: 201-871-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RITU SURI
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 201-725-8700