Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suresh Pandanthara, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1205383577

Suresh Pandanthara, NURSEPRACTITIONER is a Nurse Practitioner in Freehold, New Jersey. Qualified in 2019, 7 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

901 W Main St Ste 160
Freehold, NJ 07728-2537
Phone: (732) 577-0600
Fax: (732) 577-6332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Kilmer Dr Ste 214, Morganville, NJ 07751-1561 — (732) 577-0600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00665300 (NJ)

Record details

NPI number1205383577
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 5, 2016
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Freehold