Sujatha Sukhavasi, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08046800 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4300

Fax

(845) 357-5777

NPI assigned

Dec 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St Marys General Medical Group PC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1477261741
  Medicare reassignment Care Compare group NPD
• Parkway Anesthesia Associates LLC

  • Anesthesiology Physician
  • North Bergen, NJ
  • NPI 1518319755
  Medicare reassignment NPD
• Prime Healthcare Services - St. Mary'S Passaic, LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1730508250
  Medicare reassignment NPD
• Ambulatory Center for Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • North Bergen, NJ
  • NPI 1003842626
  NPD
• Ambulatory Center for Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • North Bergen, NJ
  • NPI 1184009326
  NPD
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1164605663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4300",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHAVASI",
        "first_name": "SUJATHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08046800",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "238812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149594",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03357320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Sterling
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• Nechama Rachel Stitzer, OTR/L
• Sara Stoll Rubin
• Straight and Narrow Inc
• Surendra M. Sharma M.D.
• Kevin Suttles
• Svitanok LLC
• Sweet Angel Home Care
• Nena L Sy, M.D.

• Anesthesiology Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.