DR. SURAJ POTHINENI DO
NPI 1679333124
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since March 21, 2024
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Suraj Pothineni Do NPPES

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

DR. SURAJ POTHINENI DO (NPI 1679333124) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1679333124
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SURAJ POTHINENICredential: DO
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Sole ProprietorNo
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1679333124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

30 PROSPECT AVE, Hackensack, NJ 07601

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Suraj Pothineni's NPI number?

The NPI number for Suraj Pothineni is 1679333124. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Suraj Pothineni located?

Suraj Pothineni practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Suraj Pothineni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Suraj Pothineni was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.