Organization Active NPI

Sujatha Shankar MD PA

  • Pediatrics Physician
  • East Brunswick, NJ
National Provider Identifier
1477026755
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUJATHA SHANKAR MD PA
Practice address
77 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone
(732) 238-6644
Fax
(732) 238-6550
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Sujatha Shankar, MDNPI 1508810268
Title
President
Phone
(732) 238-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

77 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Mailing address

77 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 238-6644

National Provider Directory

National Provider Directory

Locations

77 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 238-6644

206 Bridge St
Bldg D
Metuchen, NJ 08840

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1477026755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-238-6644",
            "fax_number": "732-238-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-238-6644",
            "fax_number": "732-238-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATHA SHANKAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-238-6644",
        "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": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.