Individual provider Active NPI

Sneha Sundaram

  • Rheumatology Physician
  • Voorhees, NJ
National Provider Identifier
1821408600
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA10846700 Issued in NJ
Practice address
2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509
Phone
(856) 424-5005
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 25MA10846700 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509

Mailing address

2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509

Other practice location 1

2351 Clay Street, Suite 380
San Francisco, CA 94118
Phone (415) 600-3954

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
I20200811000263 NJ Practitioner - Rheumatology 3173890472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Boston University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trabecular Medical Group, LLCGroup PAC ID 2365842440, 19 clinicians

Practice addresses (Care Compare)

2301 E Evesham Rd
BLDG 800 Suite 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10846700NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trabecular Medical Group, LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

1759 Highway 88
Brick, NJ 08724

314 Chris Gaupp Dr
Ste 103
Galloway, NJ 08205

3635 Quakerbridge Rd
Ste 33
Hamilton, NJ 08619

740 Marne Hwy
Ste 102
Moorestown, NJ 08057
Phone (856) 235-0001

354 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-5460

2301 E Evesham Rd
Ste 115
Voorhees, NJ 08043
Phone (856) 770-9000

2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300

Interoperability endpoints

  • Direct secure messaging: ssundaram@arthritis.medentdirect.com
  • Direct secure messaging: ssundaramresspmf205036@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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 8

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1821408600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 115",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 115",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509",
            "telephone_number": "856-424-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 Clay Street, Suite 380",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94118",
            "country_code": "US",
            "telephone_number": "415-600-3954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "SNEHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA10846700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.