Individual provider Active NPI

Sunita Kanumury, M.D.

  • Specialist
  • Denville, NJ
National Provider Identifier
1205806924
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA056665 Issued in NJ
Practice address
496 E Main St
Suite 1
Denville, NJ 07834-2554
Phone
(973) 627-1000
Fax
(973) 627-0443
NPI assigned
Jan 25, 2006
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA056665 NJ Primary
Allergy & Immunology Physician 207K00000X 25MA056665 NJ
Allergy Physician 207KA0200X 25MA056665 NJ

Addresses

Primary practice location

496 E Main St
Suite 1
Denville, NJ 07834-2554

Mailing address

496 E Main St Ste 1
Denville, NJ 07834-2554
Phone (973) 627-1000

Other identifiers 1

IdentifierTypeStateIssuer
6325408MedicaidNJ

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
I20050720000347 NJ Practitioner - Allergy/Immunology 6305873555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Pocono Rd
Suite 307
Denville, NJ 07834-2908
Phone (973) 627-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056665NJMDSpecialist
25MA056665NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Care, PC Specialist CurrentSince Aug 1, 1998 Accepting new patients

Locations

16 Pocono Rd
Ste 307
Denville, NJ 07834
Phone (973) 625-3515

496 E Main St
Ste 1
Denville, NJ 07834
Phone (914) 787-9050

354 US Highway 46 W
Hackettstown, NJ 07840
Phone (908) 813-0230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1205806924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 E MAIN ST STE 1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342554",
            "telephone_number": "973-627-1000",
            "fax_number": "973-627-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342554",
            "telephone_number": "973-627-1000",
            "fax_number": "973-627-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUMURY",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA056665",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA056665",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA056665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6325408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.