SUJATHA MEDICAL PC (NPI# 1720129737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720129737 |
| Entity Type | Organization |
| Organization Name | SUJATHA MEDICAL PC |
| Practice Address |
21414 Hillside Ave Queens Village NY 11427-1808 |
| Mailing Address |
6636 Yellowstone Blvd Apt. 18f Forest Hills NY 11375-2510 |
| Practice Telephone | 7182642700 |
| Practice Fax Number | 7182642702 |
| Mailing Telephone | 7182642700 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | SUJATHA RAJAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7182642700 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE - GHI | 07554 | 01 |
| Street Address |
21414 HILLSIDE AVE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593323 | Sujatha Rajan | Internal Medicine | 21414 Hillside Ave, Queens Village, NY 11427-1808 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178150 | Asif Alam Khan | Internal Medicine | 9029 219th St, Queens Village, NY 11428-1340 | 2020-06-09 |
| 1043520398 | Dhruv Mahendra Amin | Internal Medicine | 21814 Hillside Ave, Queens Village, NY 11427-1951 | 2010-10-19 |
| 1760714349 | Td Advanced Medical PC | Internal Medicine | 11054 Springfield Blvd, Queens Village, NY 11429-2521 | 2010-02-05 |
| 1134381015 | Vrs Medical Pllc | Internal Medicine | 21518 91st Ave, Queens Village, NY 11428-1217 | 2008-07-01 |
| 1477685238 | Ann Catherine Morgan | Internal Medicine | 8045 Winchester Blvd Bldg 71, Bernard Fineson Hillside Campus, Queens Village, NY 11427-2193 | 2007-03-09 |
| 1912069493 | Antoine Victor Charles | Internal Medicine | 20809 Hillside Avenue, Queens Village, NY 11427 | 2006-12-14 |
| 1083776561 | Eusebe Constantin | Internal Medicine | 103 12 Springfield Boulevard, Queens Village, NY 11429-2049 | 2006-12-14 |
| 1093880957 | Aryel Nicoleau | Internal Medicine | 9204 Springfield Boulevard, Queens Village, NY 11428 | 2006-11-22 |
| 1265511877 | Rakesh K. Bhardwaj | Internal Medicine | 8945 Springfield Blvd, Queens Village, NY 11427-2513 | 2006-11-03 |
| 1386723229 | Joseph Jean Nicolas | Internal Medicine | 10415 Springfield Blvd, Queens Village, NY 11429-2032 | 2006-11-02 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on SUJATHA MEDICAL PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.