Individual provider Active NPI

Saraswathi Thirugnanam, MD

  • Internal Medicine Physician
  • Mercerville, NJ
National Provider Identifier
1649250903
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA36828 Issued in NJ
Practice address
2544 Nottingham Way
Mercerville, NJ 08619
Phone
(609) 588-9500
Fax
(609) 588-9595
NPI assigned
Jan 20, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA36828 NJ Primary

Addresses

Primary practice location

2544 Nottingham Way
Mercerville, NJ 08619

Mailing address

2544 Nottingham Way
Mercerville, NJ 08619
Phone (609) 588-9500

Other identifiers 1

IdentifierTypeStateIssuer
3037801-01MedicaidNJ

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
I20110215000762 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961682489 Practice locations: Mercerville, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA36828NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dessalines Hospitalist LLC Internal Medicine PastSince Sep 13, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1649250903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 NOTTINGHAM WAY",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-588-9500",
            "fax_number": "609-588-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 NOTTINGHAM WAY",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-588-9500",
            "fax_number": "609-588-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUGNANAM",
        "first_name": "SARASWATHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA36828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3037801-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.