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MR. HASMUKH SUTARIA M.D
NPI 1366408056
Psychiatry & Neurology - Neurology in Irvington, NJ

Active since April 22, 2006PECOS Enrolled
40, UNION AVE, SUITE 206, IRVINGTON, NJ 07111(973) 373-1196(973) 373-1197 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Hasmukh Sutaria M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. HASMUKH SUTARIA M.D (NPI 1366408056) is an individual neurology provider in Irvington, New Jersey, licensed in New Jersey (MA047626) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Carewell Health Medical Center, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1366408056
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. HASMUKH SUTARIACredential: M.D
Location Address40, UNION AVE, SUITE 206Irvington, NJ 07111
Mailing Address40, Union Ave, Suite 206Irvington, NJ 07111 · (973) 373-1196 · Fax (973) 373-1197
Phone(973) 373-1196
Fax(973) 373-1197
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateApril 22, 2006
Last NPPES UpdateApril 11, 2011
✔ NPI 1366408056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NJ · MA047626✔ Licensed in NJ · 47626
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
40, UNION AVE, Irvington, NJ 07111
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Other Names 1

Professional Name (2)Hasmukh Sutaria Md Pa

Other Identifiers 3

Medicare UPINC33902NJ
Medicaid5467004NJ
Medicare PIN425644NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Hasmukh Sutaria M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678544434
PECOS Enrollment IDI20040804001081
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
26 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hasmukh Sutaria's NPI number?

The NPI number for Hasmukh Sutaria is 1366408056. It was assigned to this individual provider in the NPPES registry on April 22, 2006. The provider is also known as Hasmukh Sutaria MD PA.

Where is Hasmukh Sutaria located?

Hasmukh Sutaria practices at 40, Union Ave Suite 206, Irvington, NJ 07111. The listed phone number is (973) 373-1196.

What is Hasmukh Sutaria's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hasmukh Sutaria enrolled in Medicare?

Yes. Hasmukh Sutaria is registered in the Medicare PECOS enrollment system.

What insurance does Hasmukh Sutaria accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hasmukh Sutaria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hasmukh Sutaria affiliated with any hospitals?

According to CMS data, Hasmukh Sutaria is affiliated with Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Hasmukh Sutaria was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.