Individual provider Active NPI

Subha Sundararajan, MD

  • Gastroenterology Physician
  • West Long Branch, NJ
National Provider Identifier
1770741084
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA09113600 Issued in NJ
Practice address
60 Highway 35
Suite B
West Long Branch, NJ 07764
Phone
(732) 222-3805
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA09113600 NJ Primary

Addresses

Primary practice location

60 Highway 35
Suite B
West Long Branch, NJ 07764

Mailing address

60 Highway 35
Suite B
West Long Branch, NJ 07764
Phone (732) 222-3805

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
I20120702000043 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 2163687823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132

1640 Route 88 W 202
Atlantic Coast Gastroenterology Assoc
Brick, NJ 08724-3068
Phone (732) 458-8300

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

365 Broad St
Suite 2E
Red Bank, NJ 07701-2151
Phone (732) 222-3805

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 1, 2024 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients
Red Bank Gastroenterology Associates, PA Gastroenterology PastSince Aug 9, 1996 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: subha.sundararajan.1@24721.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

Hospital & facility affiliations 5

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1770741084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIGHWAY 35",
            "address_2": "SUITE B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-222-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGHWAY 35",
            "address_2": "SUITE B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-222-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARARAJAN",
        "first_name": "SUBHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA09113600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.