Active NPI
Padma Sundaram, MD
- Adult Medicine Physician
- Middletown, NY
National Provider Identifier
1134464233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 149639
- Practice address
- 7 Lilac St
Middletown, NY 10940-5053 - Phone
- (845) 343-0011
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 149639 | NY | Primary |
Addresses
Primary practice location
7 Lilac St
Middletown, NY 10940-5053
Mailing address
7 Lilac St
Middletown, NY 10940-5053
Phone (845) 343-0011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149639 | Other | NY | NEW YORK STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149639 | NY | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1134464233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LILAC ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405053",
"telephone_number": "845-343-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LILAC ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405053",
"telephone_number": "845-343-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDARAM",
"first_name": "PADMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "149639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENCE",
"identifier": "149639",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.