Sudarshan Bagchi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA064850 Issued in NJ

Practice address

301 Spring Garden Rd
Hammonton, NJ 08037-2516

Phone

(609) 561-1700

NPI assigned

Dec 11, 2006

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Jersey Behavioral Health Resources Incorporated

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1255491718
  Medicare reassignment NPD
• Pennsylvania Department of Human Services

  dba Norristown State Hospital

  • Psychiatric Hospital
  • Norristown, PA
  • NPI 1447233317
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD
• Camden County Health Services Center

  • Psychiatric Hospital
  • Blackwood, NJ
  • NPI 1578559340
  NPD (past)
• Kenneth V. Master, M.D., P.C.

  • Geriatric Psychiatry Physician
  • Haddon Heights, NJ
  • NPI 1770500563
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1942360243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BUNNING DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434162",
            "telephone_number": "856-751-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRING GARDEN RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372516",
            "telephone_number": "609-561-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Chambers Hill Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172017301",
            "country_code": "US",
            "telephone_number": "717-709-7930",
            "fax_number": "717-709-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGCHI",
        "first_name": "SUDARSHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA064850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheneen Austin
• Avivian Community Living LLC
• Ngozi Azu, FNP
• Sujeiry Baez, LSW
• Sonali Bagchi, M.D
• Khalid M Bajwa, MD
• Nkongho Bakia, APN
• Brooke Barber
• Martina Barshall
• Base Consulting LLC

• Psychiatry Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.