Individual provider Active NPI

Subramoni Sundaram, M.D.

  • Nephrology Physician
  • Mine Hill, NJ
National Provider Identifier
1811075005
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA03295600 Issued in NJ
Practice address
195 US Highway 46
Suite 101
Mine Hill, NJ 07803-3163
Phone
(973) 361-2550
Fax
(973) 361-0066
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA03295600 NJ
Nephrology Physician 207RN0300X 25MA03295600 NJ Primary

Addresses

Primary practice location

195 US Highway 46
Suite 101
Mine Hill, NJ 07803-3163

Mailing address

195 US Highway 46
Suite 101
Mine Hill, NJ 07803-3163
Phone (973) 361-2550

Other identifiers 2

IdentifierTypeStateIssuer
01082966001OtherNJAMERIHEALTH
1797301MedicaidNJ

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
I20060112000578 NJ Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Nephrology 3870516131 Reassigns benefits to 2 organizations
Practice locations: Mine Hill, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Nephrology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians

Practice addresses (Care Compare)

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 927-5788

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03295600NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - Saint Clare'S LLC CurrentSince Jan 1, 2022 Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC CurrentSince Jan 1, 2022 Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Jul 11, 2020 Accepting new patients
Huron Pathology Associates PLLC Current Accepting new patients
American Speech Therapy LLC PastSince Feb 23, 2019 Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

400 W Blackwell St
#1
Dover, NJ 07801

Organizations & group practices 6

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 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811075005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 101",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-361-2550",
            "fax_number": "973-361-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 101",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-361-2550",
            "fax_number": "973-361-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "SUBRAMONI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03295600",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA03295600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "01082966001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.