Academic ICU Doc, PA

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

ACADEMIC ICU DOC, PA

Practice address

5 Rushton CT
West Windsor, NJ 08550-3320

Phone

(908) 464-3636

Fax

(908) 464-6711

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Sri Sujanthy Rajaram, MDNPI 1033209333

Title

President

Phone

(908) 464-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Sri Sujanthy Rajaram, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • East Windsor, NJ
  • NPI 1033209333
  Medicare reassignment Care Compare group NPD Authorized official
• Rajaram Kandasamy, MD

  • Nephrology Physician
  • East Windsor, NJ
  • NPI 1134269954
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1558730705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUSHTON CT",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503320",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RUSHTON CT",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503320",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC ICU DOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "SRI SUJANTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-464-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "0450016696",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 360 Counseling & Wellness Center
• Sonia Ahmed, MD
• Kholoud Ali, RPH
• Align Medical Health & Wellness LLC
• Beverly M Andres, LCSW
• Seeta Arjun, DO

• Critical Care Medicine (Internal Medicine) Physician in West Windsor, NJ
• Providers in West Windsor, NJ by specialty
• Critical Care Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.

Verify at the official NPI Registry.