Sundararaja Chandrasekaran, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

129713 Issued in NY

Practice address

148 Dogwood Rd
Roslyn, NY 11576-3015

Phone

(516) 484-3391

Fax

(516) 484-0634

NPI assigned

Apr 20, 2007

Sex

Male

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598982209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 DOGWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763015",
            "telephone_number": "516-484-3391",
            "fax_number": "516-484-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 DOGWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763015",
            "telephone_number": "516-484-3391",
            "fax_number": "516-484-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "SUNDARARAJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anne Chaffee, NP
• Debra Ann Chalmers, NP
• Allison L Chan, RN, AGNP-C
• Ching Hong Chan, M.D.
• Garrett Chan, PA-C
• Kimberly Chang-Munro, FNP-C
• Gin Den William Chang, DO
• Saqib S Chaudhry, MD
• Victor Chehebar, M.D.
• Lu Qi Chen, M.D.

• Internal Medicine Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.