Sudhir K. Agarwal, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA05413900 Issued in NJ

Legal business name

SUDHIR K. AGARWAL, MD

Practice address

15 Commerce Blvd
Suite 202
Succasunna, NJ 07876-1343

Phone

(973) 252-5480

Fax

(973) 525-5481

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sudhir Agarwal, MD

Title

Owner

Phone

(973) 252-5480

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310860800000",
    "number": "1629253760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COMMERCE BLVD",
            "address_2": "SUITE 202",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761343",
            "telephone_number": "973-252-5480",
            "fax_number": "973-525-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE BLVD",
            "address_2": "SUITE 202",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761343",
            "telephone_number": "973-252-5480",
            "fax_number": "973-525-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR K. AGARWAL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-07-17",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-252-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05413900",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA05413900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Stankus, LPC
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• Barbara Strand, MD
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• Hilary Sugar, PA-C
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• Kathleen H Tangen
• Tender Care

• Gastroenterology Physician in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; 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.