Gnana Sunderam MD; PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04298800 Issued in NJ

Legal business name

GNANA SUNDERAM MD; PC

Practice address

310 Central Ave Ste 205
East Orange, NJ 07018-2838

Phone

(973) 266-1227

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gnana Sunderam, MDNPI 1164446761

Title

Physician

Phone

(973) 266-9111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gnana Sunderam, MD

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1164446761

  Specialist

  Medicare reassignment NPD Authorized official
• Darshi Sunderam, MD

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1679597280

  Specialist

  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1245549583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE STE 205",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-266-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE STE 205",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-266-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNANA SUNDERAM MD; PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "SUNDERAM",
        "authorized_official_first_name": "GNANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-266-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04298800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Goldsteen, LSW
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• Karen Andrea Gomez

• Specialist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.