Active NPI
Steven Sunderraj PT PC
- Orthopedic Physical Therapist
- Nanuet, NY
National Provider Identifier
1972977205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 034635
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400067797 | Other | NY | MEDICARE PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- New York, NY
- NPI 1417222811
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.