Individual provider Active NPI

Sundararajan Selvaraj, M.D.

  • Hospitalist Physician
  • Middletown, NY
National Provider Identifier
1891956207
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
248978 Issued in NY
Practice address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone
(845) 703-6999
Fax
(845) 703-6297
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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 248978 NY
Hospitalist Physician 208M00000X 248978 NY Primary

Addresses

Primary practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080711000087 NY Practitioner - Internal Medicine 7113099912 Reassigns benefits to 1 organization
I20090422000494 NJ Practitioner - Internal Medicine 7113099912 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
North Bergen HospitalistsGroup PAC ID 6002107976, 11 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (732) 936-6447

Hospital & facility affiliations

  • VHS Hospice Services of New Jersey Hospice, Woodland Park, NJ, CCN 311508
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248978NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bergen Hospitalists Hospitalist CurrentSince Mar 3, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 1, 2023 Accepting new patients
Ihpnj ER LLC CurrentSince Apr 15, 2024 Accepting new patients
Englewood Medical Associates, Inc Internal Medicine Past Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

613 Park Ave
Ste 2
East Orange, NJ 07017

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

96 Parkway
Rochelle Park, NJ 07662
Phone (201) 221-2351

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Organizations & group practices 10

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 6

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1891956207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "SUNDARARAJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "248978",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "248978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.