Active NPI
Steven A Sunderraj, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1417222811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034635
- Practice address
- 16 E 52ND St FL 6
New York, NY 10022-5306 - Phone
- (212) 752-2400
- Fax
- (212) 752-8122
- NPI assigned
- Mar 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034635 | NY | Primary |
Addresses
Primary practice location
16 E 52ND St FL 6
New York, NY 10022-5306
Mailing address
16 E 52ND St FL 6
New York, NY 10022-5306
Phone (212) 752-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034635 | NY | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
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- Nanuet, NY
- NPI 1972977205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1417222811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E 52ND ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225306",
"telephone_number": "212-752-2400",
"fax_number": "212-752-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E 52ND ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225306",
"telephone_number": "212-752-2400",
"fax_number": "212-752-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERRAJ",
"first_name": "STEVEN",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.