Sarala C Mundassery, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA2468700 Issued in NJ

Practice address

69 Woodmont Dr
Lawrenceville, NJ 08648-2119

Phone

(609) 882-3999

Fax

(609) 921-9411

NPI assigned

Feb 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greater Trenton CMHC Inc.

  dba Greater Trenton Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1336217421
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1225172638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOODMONT DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482119",
            "telephone_number": "609-882-3999",
            "fax_number": "609-921-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOODMONT DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482119",
            "telephone_number": "609-882-3999",
            "fax_number": "609-921-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDASSERY",
        "first_name": "SARALA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA2468700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosaic Family Health
• Mosaic Health
• Rosemarie S Moser, PH D
• Clarissa Mulligan Attara, PHD,LPC,LCADC,LMHC
• Muna Behavioral Health LLC
• Margarita Munoz, PT, DPT
• Brittany Shannon Murasky, LPC
• James Thomas Murray, OPTICIAN
• Mohana Muthukumaran, DMD
• Yuliya Mutsa, PTA

• Psychiatry Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.