SUBURBAN NEUROLOGY PC – Neurology Physician, NPI 1265593065
Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUBURBAN NEUROLOGY PC
494 N Washington Ave
Titusville, FL 327962871
Phone: (321) 322-7817
Fax: (888) 285-2924
Type: Location
111, East Northfield Road, Northfield, Livingston, Essex County, New Jersey, 07039, United States
LIVINGSTON, NJ 07039
Phone: (973) 992-9819
Fax: (973) 535-9819
Type: Location
111 E NORTHFIELD RD
LIVINGSTON, NJ 070394504
Phone: (973) 992-9819
Fax: (888) 285-2924
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (987 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20110928000120 | O | Clinic/Group Practice | NJ | 2023-09-30 |
| O20251205000551 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32796)
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