Individual provider Active NPI

Sudheesh Ramachandran

  • Student in an Organized Health Care Education/Training Program
  • Newark, NJ
National Provider Identifier
1932831336
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
90 Bergen St Ste 5200
Newark, NJ 07103-2425
Phone
(973) 972-5209
NPI assigned
Jun 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

90 Bergen St Ste 5200
Newark, NJ 07103-2425

Mailing address

1600 Harbor Blvd Apt 1708W
Weehawken, NJ 07086-6872
Phone (201) 870-2606

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sr1815@njms.rutgers.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1932831336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARBOR BLVD APT 1708W",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866872",
            "telephone_number": "201-870-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 5200",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMACHANDRAN",
        "first_name": "SUDHEESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sr1815@njms.rutgers.edu",
            "affiliation": "N",
            "address_1": "90 Bergen St Ste 5200",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.