Healthcare Provider Details

I. General information

NPI: 1316919004
Provider Name (Legal Business Name): TOLGA KAPUSUZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 DURHAM AVE STE 1A
SOUTH PLAINFIELD NJ
07080-2555
US

IV. Provider business mailing address

285 DURHAM AVE STE 1A
SOUTH PLAINFIELD NJ
07080-2555
US

V. Phone/Fax

Practice location:
  • Phone: 732-338-0228
  • Fax: 908-941-5963
Mailing address:
  • Phone: 732-338-0228
  • Fax: 908-941-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number225264
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME123853
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: