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SURI B. PONAMGI MD
NPI 1366788713
Specialist in Fort Lee, NJ

Active since December 12, 2012
1101 PALISADE AVE, FORT LEE, NJ 07024(201) 224-8831(201) 224-9278 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suri B. Ponamgi Md NPPES

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

SURI B. PONAMGI MD (NPI 1366788713) is a healthcare organization registered as a specialist in Fort Lee, New Jersey and active in the NPI registry since December 2012. The organization lists Beygum Khan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366788713
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameS. B. & R. D. PONAMGI MD PA
Location Address1101 PALISADE AVEFort Lee, NJ 07024-6329
Mailing Address1101 Palisade AveFort Lee, NJ 07024-6329 · (201) 224-8831 · Fax (201) 224-9278
Phone(201) 224-8831
Fax(201) 224-9278
Organization SubpartNo
Authorized OfficialBeygum KhanOffice Manager · (201) 224-8831
Enumeration DateDecember 12, 2012
Last NPPES UpdateMay 30, 2013
✔ NPI 1366788713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA03284500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1101 PALISADE AVE, Fort Lee, NJ 07024
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Other Names 1

Doing Business AsSuri B. Ponamgi Md

Other Identifiers 1

Medicare UPIN1437155009NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURI BABU PONAMGI MD
Plastic Surgery
1101 PALISADE AVE
FORT LEE, NJ 07024
Bergen County (201) 224-8831
GENE MEDICAL GROUP, LLC
Obstetrics & Gynecology
1101 PALISADE AVE
FORT LEE, NJ 07024
Bergen County (201) 917-5258

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 S. B. & R. D. Ponamgi MD PA's NPI number?

The NPI number for S. B. & R. D. Ponamgi MD PA is 1366788713. It was assigned to this organization in the NPPES registry on December 12, 2012. The provider is doing business as Suri B. Ponamgi MD.

Where is S. B. & R. D. Ponamgi MD PA located?

S. B. & R. D. Ponamgi MD PA is located at 1101 Palisade Ave, Fort Lee, NJ 07024. The listed phone number is (201) 224-8831.

What is S. B. & R. D. Ponamgi MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for S. B. & R. D. Ponamgi MD PA was last updated on May 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.