Individual provider Active NPI

Sudhanshu Prasad, M.D

  • Internal Medicine Physician
  • Clark, NJ
National Provider Identifier
1982626453
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA46979 Issued in NJ
Practice address
181 Westfield Ave
Clark, NJ 07066-1565
Phone
(732) 382-1699
NPI assigned
Jul 24, 2006
Last updated
Jan 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA46979 NJ Primary

Addresses

Primary practice location

181 Westfield Ave
Clark, NJ 07066-1565

Mailing address

181 Westfield Ave
Clark, NJ 07066-1565
Phone (732) 382-1699

Other identifiers 1

IdentifierTypeStateIssuer
1841700MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000223 NJ Practitioner - Internal Medicine 3375649395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aman PCGroup PAC ID 0840395547, 2 clinicians

Practice addresses (Care Compare)

181 Westfield Ave
Clark, NJ 07066-1565
Phone (732) 382-1699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46979NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aman P.C Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Advanced Gastroenterology Center, PC PastSince Jun 1, 2007 Accepting new patients

Locations

181 Westfield Ave
Clark, NJ 07066
Phone (732) 382-1699

181 Westfield Ave
Ste 1
Clark, NJ 07066

53 Westfield Ave
Clark, NJ 07066
Phone (732) 382-1699

2177 Oak Tree Rd
Ste 104
Edison, NJ 08820
Phone (908) 412-1400

Organizations & group practices 2

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.

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1982626453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661565",
            "telephone_number": "732-382-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661565",
            "telephone_number": "732-382-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SUDHANSHU",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA46979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.