Sushama C Govil, M.D

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA02774500 Issued in NJ

Practice address

1945 Route 33
Jersey Shore University Medical Center
Neptune, NJ 07754

Phone

(732) 776-4143

Fax

(732) 776-4146

NPI assigned

Jan 30, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1386615284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W PARSONAGE WAY",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267903",
            "telephone_number": "732-776-4143",
            "fax_number": "732-776-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07754",
            "telephone_number": "732-776-4143",
            "fax_number": "732-776-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVIL",
        "first_name": "SUSHAMA",
        "middle_name": "C",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA02774500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymon John Gonzalez, MD
• Cheryl Lynn Goodlow, FNP-BC
• Elliot S. Goodman, DO
• Crete Gordon, M.A.-C.S.W.
• John W Gorechlad, M.D.
• Mohan Govindraj, MD
• Gira Ileana Graciano Mireles, MD
• Michael A Graff, M.D.
• Ashley Nicole Graham-Jean, MS, LPC, NCC
• Carmen J Graubard, MSW

• Anatomic Pathology & Clinical Pathology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.