Organization Active NPI

John M. Sundheim,MD LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Whiting, NJ
National Provider Identifier
1093863318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA35415 Issued in NJ
Legal business name
JOHN M. SUNDHEIM,MD LLC
Practice address
108 Lacey Rd
Suite 36
Whiting, NJ 08759-1337
Phone
(732) 350-2700
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Martin Sundheim, MDNPI 1093795015
Title
President
Phone
(732) 350-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X MA35415 NJ Primary

Addresses

Primary practice location

108 Lacey Rd
Suite 36
Whiting, NJ 08759-1337

Mailing address

108 Lacey Rd
Suite 36
Whiting, NJ 08759-1337
Phone (732) 350-2700

Other identifiers 1

IdentifierTypeStateIssuer
8680400MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093863318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LACEY RD",
            "address_2": "SUITE 36",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591337",
            "telephone_number": "732-350-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LACEY RD",
            "address_2": "SUITE 36",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591337",
            "telephone_number": "732-350-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. SUNDHEIM,MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDHEIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-350-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA35415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8680400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.