OrganizationActive
S. B. & R. D. Ponamgi MD PA
NPI 1366788713 · Specialist · Fort Lee, NJ
S. B. & R. D. Ponamgi MD PA is a Specialist organization in Fort Lee, NJ (NPI 1366788713).
Provider details
- NPI number
- 1366788713
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Beygum Khan, Office Manager(201) 224-8831
- License
- 25MA03284500 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 Palisade Ave
Fort Lee, NJ 07024-6329
Phone: (201) 224-8831
Fax: (201) 224-9278
Street-level locationGet directions
Mailing address
1101 Palisade Ave
Fort Lee, NJ 07024-6329
Other names (DBA / former)
- Doing business as
- Suri B. Ponamgi MD
Registry dates
- Enumerated
- 2012-12-12
- Last updated
- 2013-05-30
Frequently asked questions
- What is S. B. & R. D. Ponamgi MD PA's NPI number?
- S. B. & R. D. Ponamgi MD PA's National Provider Identifier (NPI) is 1366788713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is S. B. & R. D. Ponamgi MD PA?
- S. B. & R. D. Ponamgi MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is S. B. & R. D. Ponamgi MD PA located?
- S. B. & R. D. Ponamgi MD PA's practice location on file with NPPES is 1101 Palisade Ave, Fort Lee, NJ 07024-6329.
- What is S. B. & R. D. Ponamgi MD PA's phone number?
- The practice phone number listed in the NPPES registry for S. B. & R. D. Ponamgi MD PA is (201) 224-8831.
- Who is the authorized official for S. B. & R. D. Ponamgi MD PA?
- The authorized official listed on S. B. & R. D. Ponamgi MD PA's NPPES record is Beygum Khan, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is S. B. & R. D. Ponamgi MD PA's NPI active?
- Yes — S. B. & R. D. Ponamgi MD PA's NPI (1366788713) is active in the NPPES registry as of the last update on 2013-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.