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

S. B. & R. D. Ponamgi MD PA

Organization Specialist · NPI 1366788713

S. B. & R. D. Ponamgi MD PA provides Specialist services in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Palisade Ave
Fort Lee, NJ 07024-6329 Not confirmed with CMS for 13 years — call before visiting
Phone: (201) 224-8831
Fax: (201) 224-9278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA03284500 (NJ)

Record details

NPI number1366788713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beygum Khan — Office Manager · (201) 224-8831
Other names Suri B. Ponamgi Md
NPI enumeratedDecember 12, 2012
Last updated in NPPESMay 30, 2013
Mailing address1101 Palisade Ave, Fort Lee, NJ 07024-6329

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