Active NPI
Balaji Sutharsanam, M.D.
- Neonatal-Perinatal Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA10631300
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-2000
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1398479 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA10631300 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
60 Village Rd
Kendall Park, NJ 08824-1546
Phone (908) 616-3097
Other practice location 1
185 S Orange Ave
Room F-540
Newark, NJ 07103-2757
Phone (908) 616-3097
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S94800710005902 | NJ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Hackensack Specialty Care Associates, PC | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Pediatrics | Current | Accepting new patients |
| Monmouth Medical Center Inc | Past | Accepting new patients | |
| Humc Medical Observation | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients | |
| Community Medical Center Inc | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
300 2nd Ave
Fl 3
Long Branch, NJ 07740
Phone (732) 222-5200
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 9
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.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Pediatrics
-
- Neonatal-Perinatal Medicine Physician
- Hackensack, NJ
- NPI 1528011194
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Pediatric Critical Care Medicine Physician
- New Brunswick, NJ
- NPI 1164510400
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- Psychologist
- Red Bank, NJ
- NPI 1609593722
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hackensack, NJ
- NPI 1730406414
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1225486905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 VILLAGE RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241546",
"telephone_number": "908-616-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-2000"
}
],
"practiceLocations": [
{
"address_1": "185 S Orange Ave",
"address_2": "Room F-540",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032757",
"country_code": "US",
"telephone_number": "908-616-3097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHARSANAM",
"first_name": "BALAJI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "1398479",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA10631300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.