DANA SUPE MD NPI 1679511208

NPI Information

  • NPI: 1679511208
  • Provider Name: DANA SUPE, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 596-9057

Map and Directions

Get Directions

NPI Details

Dana Supe, MD is a pulmonary disease internal medicine in Marlton, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Dana Supe, MD NPI is 1679511208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ
ZIP 08053
Phone: (856) 596-9057
Fax: (856) 596-0837

The NPI 1679511208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 6/4/2006 and was last updated on 8/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine25MA06493000NEW JERSEYNo
2207RC0200XInternal MedicineCritical Care Medicine25MA06493000NEW JERSEYNo
3207RS0012XInternal MedicineSleep Medicine25MA06493000NEW JERSEYNo
4207RP1001XInternal MedicinePulmonary Disease25MA06493000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18780102MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI