Individual provider Active NPI

John M. Sundheim, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Toms River, NJ
National Provider Identifier
1093795015
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA35415 Issued in NJ
Practice address
1433 Hooper Ave 230
Toms River, NJ 08753-2200
Phone
(732) 818-6800
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA35415 NJ Primary

Addresses

Primary practice location

1433 Hooper Ave 230
Toms River, NJ 08753-2200

Mailing address

1433 Hooper Ave 230
Toms River, NJ 08753-2200
Phone (732) 818-6800

Other identifiers 1

IdentifierTypeStateIssuer
2954206MedicaidNJ

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000207 NJ Practitioner - Geriatric Medicine 7517001720 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA35415NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Dec 8, 2018 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Dec 8, 2018 Accepting new patients
John M. Sundheim,MD LLC Geriatric Medicine CurrentSince Dec 21, 2009 Accepting new patients
VPS Medical Services, PC CurrentSince Jan 1, 2020 Accepting new patients
Vna Health Group of New Jersey, LLC Past Accepting new patients
Vna Health Group of New Jersey, LLC Past Accepting new patients

Locations

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

108 Lacey Rd
Ste 36
Whiting, NJ 08759
Phone (732) 350-2700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1093795015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 HOOPER AVE 230",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532200",
            "telephone_number": "732-818-6800",
            "fax_number": "732-818-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 HOOPER AVE 230",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532200",
            "telephone_number": "732-818-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIM",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA35415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.