Active NPI
Rama T Sambandan, MD
- Internal Medicine Physician
- Hazlet, NJ
National Provider Identifier
1063501609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA49570
- Practice address
- 80 Hazlet Ave
#5
Hazlet, NJ 07730 - Phone
- (732) 264-5253
- Fax
- (732) 335-9768
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Old Bridge, NJ
- NPI 1578009965
NPD (past) Internal Medicine -
- Nephrology Physician
- Edison, NJ
- NPI 1215140801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050926000368 | NJ | Practitioner - Internal Medicine | 1557395878 | Practice locations: Hazlet, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA49570 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GK Health, PC | Internal Medicine | Past | Accepting new patients |
| Internal Medicine and Kidney Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- rama.thirugnanasambandan@sambandanpra.ehi.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA49570 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
80 Hazlet Ave
#5
Hazlet, NJ 07730
Mailing address
80 Hazlet Ave
#5
Hazlet, NJ 07730
Phone (732) 264-5253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2013.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1063501609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HAZLET AVE",
"address_2": "#5",
"city": "HAZLET",
"state": "NJ",
"postal_code": "07730",
"telephone_number": "732-264-5253",
"fax_number": "732-335-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HAZLET AVE",
"address_2": "#5",
"city": "HAZLET",
"state": "NJ",
"postal_code": "07730",
"telephone_number": "732-264-5253",
"fax_number": "732-335-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBANDAN",
"first_name": "RAMA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA49570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.