Individual provider Active NPI

Suganthini Umakanthan, MD

  • Specialist
  • Bordentown, NJ
National Provider Identifier
1609973346
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA066415 Issued in NJ
Practice address
7500 K Johnson Blvd
Bordentown, NJ 08505-2242
Phone
(609) 599-5433
Fax
(609) 599-6203
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA066415 NJ Primary

Addresses

Primary practice location

7500 K Johnson Blvd
Bordentown, NJ 08505-2242

Mailing address

PO Box 3587
Princeton, NJ 08543-3587
Phone (201) 512-9494

Other practice location 1

10 Rocky Hill Rd
Princeton, NJ 08540-9465
Phone (201) 512-9494

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address life.st.francis@trinityhealthnj.medicity.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000006 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6406921642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

166 Lyons Ave
FL 2
Newark, NJ 07112-2016
Phone (973) 926-7428

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Affinity Care of NJ, LLC Hospice, Brick, NJ, CCN 311591
  • Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • South Mountain HC Nursing home, Vauxhall, NJ, CCN 315283

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA066415NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Specialist CurrentSince Jan 9, 2024 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 9, 2024 Accepting new patients
Prime Geriatric Care LLC CurrentSince Jan 1, 1970 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Life St. Francis Corporation PastSince Jan 21, 2022 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

166 Lyons Ave
Fl 2
Newark, NJ 07112
Phone (973) 926-4882

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

516 Bergen St
Newark, NJ 07108
Phone (201) 633-5773

156 Lyons Ave
Newark, NJ 07112
Phone (201) 436-3900

Interoperability endpoints

  • Direct secure messaging: sumakanthan229383@epicdirect.rwjbh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1609973346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3587",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085433587",
            "telephone_number": "201-512-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 K JOHNSON BLVD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052242",
            "telephone_number": "609-599-5433",
            "fax_number": "609-599-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Rocky Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085409465",
            "country_code": "US",
            "telephone_number": "201-512-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMAKANTHAN",
        "first_name": "SUGANTHINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA066415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "life.st.francis@trinityhealthnj.medicity.net",
            "affiliation": "N",
            "endpointDescription": "LIFE St. Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "7500 K Johnson Blvd",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.