Individual provider Active NPI

Sneha Prasad Sudanagunta, DO

  • Obstetrics & Gynecology Physician
  • Teaneck, NJ
National Provider Identifier
1760065965
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB12890500 Issued in NJ
Practice address
870 Palisade Ave Ste 301
Teaneck, NJ 07666-3446
Phone
(201) 907-0900
Fax
(201) 907-0229
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB12890500 NJ Primary

Addresses

Primary practice location

870 Palisade Ave Ste 301
Teaneck, NJ 07666-3446

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3599

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
I20251118003212 NJ Practitioner - Obstetrics/Gynecology 1456842384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Medical Associates, PCGroup PAC ID 9436442712, 6 clinicians

Practice addresses (Care Compare)

870 Palisade Ave
Suite 301
Teaneck, NJ 07666-3446
Phone (201) 907-0900

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12890500NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Medical Associates, PC CurrentSince Dec 5, 2025 Accepting new patients
Excelcare Medical Associates, PA PastSince Nov 9, 2025 Accepting new patients

Locations

3 University Plz
Ste 205
Hackensack, NJ 07601

71 Union Ave
Ste 101
Rutherford, NJ 07070
Phone (201) 933-4775

870 Palisade Ave
Teaneck, NJ 07666
Phone (201) 907-0900

870 Palisade Ave
Ste 301
Teaneck, NJ 07666
Phone (201) 907-0900

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1760065965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208",
            "telephone_number": "201-833-3599",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 301",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663446",
            "telephone_number": "201-907-0900",
            "fax_number": "201-907-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDANAGUNTA",
        "first_name": "SNEHA",
        "middle_name": "PRASAD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB12890500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.