DR. JEANNETTE A. SUJOVOLSKY (D.O.) – Family Medicine Physician, NPI 1821179904
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
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Provider Addresses for DR. JEANNETTE A. SUJOVOLSKY (D.O.)
1116, 43rd Street, New Durham, North Bergen, Hudson County, New Jersey, 07047, United States
NORTH BERGEN, NJ 070472712
Phone: (201) 330-2632
Fax: (201) 330-2638
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $497.
Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Dexcom, Inc. ($345).
Total Amount
$497
General + Research + Ownership
Payments
24
Total payment records
General Amount
$497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $345 |
| Lilly USA, LLC | $46 |
| GlaxoSmithKline, LLC. | $31 |
| Merck Sharp & Dohme LLC | $29 |
| Bayer Healthcare Pharmaceuticals Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100602001016 | I | Family Practice | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Family Practice | MA | |
| Family Practice | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
Reviews
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