SUMAN THOMAS
NPI 1720498678
Nurse Practitioner - Adult Health in Englewood, NJ

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
245 ENGLE ST, ENGLEWOOD, NJ 07631(201) 569-5330 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suman Thomas NPPES

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

SUMAN THOMAS (NPI 1720498678) is an individual adult health provider in Englewood, New Jersey, licensed in New Jersey (26NJ00491600) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1720498678
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUMAN THOMAS
Location Address245 ENGLE STEnglewood, NJ 07631-2465
Mailing Address245 Engle StEnglewood, NJ 07631-2465
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 30, 2014
✔ NPI 1720498678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00491600
245 ENGLE ST, Englewood, NJ 07631

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suman Thomas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830412832
PECOS Enrollment IDI20141224000337
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Suman Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
245 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Geriatric Medicine
151 MACKAY DR
Tenafly, NJ 07670
  • Reassigned Medicare billing, New Jersey enrollment
  • 24 clinicians in this Medicare group
Geriatric Medicine
290 RED SCHOOL LN
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
652 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
255 services83 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
249 services51 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
59 services29 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
50 services39 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$62.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Adult Health)
245 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Gerontology)
245 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Gerontology)
245 ENGLE ST
ENGLEWOOD, NJ 07631
Plastic Surgery
245 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Gerontology)
245 ENGLE ST
ENGLEWOOD, NJ 07631
Emergency Medicine
245 ENGLE ST
ENGLEWOOD, NJ 07631
Internal Medicine
245 ENGLE ST, SUITE 3
ENGLEWOOD, NJ 07631
Eyewear Supplier
245 ENGLE ST
ENGLEWOOD, NJ 07631

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 Suman Thomas's NPI number?

The NPI number for Suman Thomas is 1720498678. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Suman Thomas located?

Suman Thomas practices at 245 Engle St, Englewood, NJ 07631. The listed phone number is (201) 569-5330.

What is Suman Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Suman Thomas enrolled in Medicare?

Yes. Suman Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Suman Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suman Thomas reassigns Medicare benefits to 3 organizations: North Jersey Medical & Geriatric Associates LLC (Englewood, NJ), Ritu Suri MD, LLC (Tenafly, NJ) and Pai Participant 25 PC (Phillipsburg, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suman Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Suman Thomas affiliated with any hospitals?

According to CMS data, Suman Thomas is affiliated with Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Suman Thomas was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.