Individual provider Active NPI

Rama T Sambandan, MD

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1063501609
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA49570 Issued in NJ
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.

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MA49570NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GK Health, PC Internal Medicine Past Accepting new patients
Internal Medicine and Kidney Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rama.thirugnanasambandan@sambandanpra.ehi.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA49570 NJ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.