Mamatha Sundaresh MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAMATHA SUNDARESH MD

Practice address

149-45 Northern Blvd
Flushing, NY 11354

Phone

(718) 353-8348

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mamatha Sundaresh, MD

Title

Owner

Phone

(718) 353-8348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1346556792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149-45 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-353-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149-45 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-353-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMATHA SUNDARESH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SUNDARESH",
        "authorized_official_first_name": "MAMATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-353-8348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bipashna Malla, MBBS
• Jessica Marie Mallgraf, RN BSN
• Shahnaz Mallik
• Priya Mallikarjuna, MD, MA
• Philip James Malone, PNP
• Daniel Mammon, OTR/L
• Natalie Mammon, PHARM.D.
• Paul Manadan, M.D.
• Javelin Manansala
• Andrea Mancuso

• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.