Active NPI
Sujana Chandrasekhar, MD
- Otology & Neurotology Physician
- New York, NY
National Provider Identifier
1861659393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 179192-1
- Legal business name
- SUJANA CHANDRASEKHAR, MD
- Practice address
- 364 E 69TH St
New York, NY 10021-5706 - Phone
- (212) 249-3232
- NPI assigned
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sujana S. Chandrasekhar, M.D.
- Title
- President
- Phone
- (212) 249-3232
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 179192-1 | NY | Primary |
| Audiologist | 231H00000X |
Addresses
Primary practice location
364 E 69TH St
New York, NY 10021-5706
Mailing address
364 E 69TH St
New York, NY 10021-5706
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120315 | Other | NY | OPERATING ENGINEERS LOCAL 825 |
| 1180621 | Other | NY | AETNA |
| 8M0242 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
| P877572 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- New York, NY
- NPI 1184899601
-
- Otology & Neurotology Physician
- Sarasota, FL
- NPI 1801806757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1861659393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 E 69TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 E 69TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215706",
"telephone_number": "212-249-3232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUJANA CHANDRASEKHAR, MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "CHANDRASEKHAR",
"authorized_official_first_name": "SUJANA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-249-3232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "NY",
"license": "179192-1",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATING ENGINEERS LOCAL 825",
"identifier": "120315",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1180621",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "8M0242",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P877572",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.