Active NPI
Sudershan P Reddy, MD
- Anesthesiology Physician
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 07847000
- Practice address
- 416 Bellevue Ave
Ste 104
Trenton, NJ 08618-4513 - Phone
- (609) 396-4700
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
Anesthesiology, NJ
-
- Urgent Care Clinic/Center
- Sewell, NJ
- NPI 1720538564
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Specialist
- Mount Laurel, NJ
- NPI 1427076553
-
- Anesthesiology Physician
- Trenton, NJ
- NPI 1295743755
Anesthesiology
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Jersey Healthcare Specialists PC
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (800) 637-2374
40 Prospect Ave
Hackensack, NJ 07601-1915
Phone (954) 939-5000
901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000
Hospital & facility affiliations
- Capital Health Medical Center - Hopewell
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000375 | NJ | Practitioner - Anesthesiology | 1355239211 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07847000 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Anesthesiology | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Uptown Anesthesia Associates LLP | Anesthesiology | Past | Accepting new patients |
| Trenton Anesthesiology Associates PA | Anesthesiology | Past | Accepting new patients |
| Chemung Medical Services PC | Past | Accepting new patients | |
| Rancocas Anesthesiology, P.a. | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 07847000 | NJ | Primary |
Addresses
Primary practice location
416 Bellevue Ave
Ste 104
Trenton, NJ 08618-4513
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100625 | Medicaid | NJ |
NPI Registry JSON
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1790791812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 BELLEVUE AVE",
"address_2": "STE 104",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086184513",
"telephone_number": "609-396-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SUDERSHAN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "07847000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100625",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.