Organization Active NPI

Steven Sunderraj PT PC

  • Orthopedic Physical Therapist
  • Nanuet, NY
National Provider Identifier
1972977205
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
034635 Issued in NY
Legal business name
STEVEN SUNDERRAJ PT PC
Practice address
32 Seven Oaks LN
Nanuet, NY 10954-3523
Phone
(845) 405-1431
Fax
(212) 223-0198
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Andrew Scott Marcus, D.C.
Title
Billing Manager
Phone
(212) 421-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 034635 NY Primary

Addresses

Primary practice location

32 Seven Oaks LN
Nanuet, NY 10954-3523

Mailing address

32 Seven Oaks LN
Nanuet, NY 10954-3523
Phone (845) 405-1431

Other identifiers 1

IdentifierTypeStateIssuer
A400067797OtherNYMEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201001410 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860860483 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

11 W 36th St
Fl 4
New York, NY 10018
Phone (347) 963-1182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1972977205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEVEN OAKS LN",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543523",
            "telephone_number": "845-405-1431",
            "fax_number": "212-223-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEVEN OAKS LN",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543523",
            "telephone_number": "845-405-1431",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN SUNDERRAJ PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "212-421-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "034635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "A400067797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.