Active NPI
Punidha Sundaram, M.D.
- Infectious Disease Physician
- Montrose, NY
National Provider Identifier
1730275751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25MA07621400
- Practice address
- 2094 Albany Post Rd
VA Hudson Valley Health Care System
Montrose, NY 10548 - Phone
- (914) 737-4400
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25MA07621400 | NJ | Primary |
Addresses
Primary practice location
2094 Albany Post Rd
VA Hudson Valley Health Care System
Montrose, NY 10548
Mailing address
50 Center St
Ramsey, NJ 07446-2309
Phone (732) 977-7072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110524000641 | NY | Order and Referring Only - Infectious Disease | 0941486138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07621400 | NJ | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730275751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CENTER ST",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462309",
"telephone_number": "732-977-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 ALBANY POST RD",
"address_2": "VA HUDSON VALLEY HEALTH CARE SYSTEM",
"city": "MONTROSE",
"state": "NY",
"postal_code": "10548",
"telephone_number": "914-737-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDARAM",
"first_name": "PUNIDHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA07621400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.