Sanaadhan Poonamallee Kothandaraman

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

70 Dubois Street, Montefiore St. Luke' Cornwall Hospita
Newburgh, NY 12550

Phone

(845) 561-4400

Fax

(845) 784-3960

NPI assigned

May 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sanaadhan Poonamallee Kothandaraman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1114716271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET, MONTEFIORE ST. LUKE' CORNWALL HOSPITA",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-4400",
            "fax_number": "845-784-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET, MONTEFIORE ST. LUKE' CORNWALL HOSPITA",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-4400",
            "fax_number": "845-784-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAMALLEE KOTHANDARAMAN",
        "first_name": "SANAADHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANAADHAN",
            "last_name": "POONAMALLEE KOTHANDARAMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Jose Plaza, FNP
• John Plevritis
• Eugennie Plummer- Edwards, ANP
• Sunitha Polepalle, M.D.
• Paul A Pomerantz, M.D.
• Melisha Tamara Post, LPN
• Alvarine A Powell
• Sovan Powell
• Smruti Prasad, PT
• Reccell Encarre Alibin Pre, M.D.

• Student in an Organized Health Care Education/Training Program in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.