Individual provider Active NPI

Sulakshana Gandhi, MD

  • Internal Medicine Physician
  • South Orange, NJ
National Provider Identifier
1669819744
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10044000 Issued in NJ
Practice address
707 S Orange Ave
South Orange, NJ 07079-2698
Phone
(973) 675-9000
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 25MA10044000 NJ Primary

Addresses

Primary practice location

707 S Orange Ave
South Orange, NJ 07079-2698

Mailing address

707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 675-9000

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
I20171129002302 NJ Practitioner - Internal Medicine 1153643135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

707 S Orange Ave
South Orange, NJ 07079-2698

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Specialists Group, LLC CurrentSince Dec 11, 2017 Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Sep 26, 2017 Accepting new patients
Avedamed LLC Internal Medicine CurrentSince Dec 11, 2017 Accepting new patients
Clinton Medical Associates PA Internal Medicine PastSince Dec 11, 2017 Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

310 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

2130 Millburn Ave
Ste A4
Maplewood, NJ 07040
Phone (973) 275-9300

835 Clinton Ave
Newark, NJ 07108
Phone (973) 399-3323

707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: sulakshana.gandhi.1@23475.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1669819744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-675-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-675-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SULAKSHANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10044000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.