Individual provider Active NPI

Sadanand Sudhakar Palekar, MD

  • Nephrology Physician
  • West Orange, NJ
National Provider Identifier
1275500969
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA05092700 Issued in NJ
Practice address
111 Northfield Avenue
Suite 311
West Orange, NJ 07052-4703
Phone
(973) 325-2103
Fax
(973) 325-2254
NPI assigned
Mar 2, 2006
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA05092700 NJ Primary

Addresses

Primary practice location

111 Northfield Avenue
Suite 311
West Orange, NJ 07052-4703

Mailing address

111 Northfield Avenue
Suite 311
West Orange, NJ 07052-4703
Phone (973) 325-2103

Other identifiers 1

IdentifierTypeStateIssuer
2488205MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Care Oncology LLC PastSince Jan 1, 2009 Accepting new patients
3 Dimension Diagnostic Solutions Past Accepting new patients

Organizations & group practices 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1275500969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVENUE",
            "address_2": "SUITE 311",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524703",
            "telephone_number": "973-325-2103",
            "fax_number": "973-325-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVENUE",
            "address_2": "SUITE 311",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524703",
            "telephone_number": "973-325-2103",
            "fax_number": "973-325-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEKAR",
        "first_name": "SADANAND",
        "middle_name": "SUDHAKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA05092700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.