Individual provider Active NPI

Sasimugunthan Thangarajah

  • Registered Nurse
  • Saugus, MA
National Provider Identifier
1710483854
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2278005 Issued in MA
Practice address
6 Wamesit Ave
Saugus, MA 01906-3824
Phone
(781) 350-0711
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2278005 MA Primary

Addresses

Primary practice location

6 Wamesit Ave
Saugus, MA 01906-3824

Mailing address

6 Wamesit Ave
Saugus, MA 01906-3824
Phone (781) 350-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2278005MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Services, Treatment and Care for All Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1710483854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WAMESIT AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063824",
            "telephone_number": "781-350-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WAMESIT AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063824",
            "telephone_number": "781-350-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGARAJAH",
        "first_name": "SASIMUGUNTHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2278005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.